MR. ERNST JOHN VAN KOETSVELD (DPT) – Orthopedic Physical Therapist, NPI 1770611063
Orthopedic Physical Therapist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT
Provider Addresses for MR. ERNST JOHN VAN KOETSVELD (DPT)
PO BOX 1769
MIDDLEBURG, VA 201181769
Phone: (703) 933-0038
Fax: (703) 933-0199
Type: Mailing
178 BARKLEDGE DR
NEWINGTON, CT 061112255
Phone: (860) 748-5380
Type: Mailing
100 GRAND ST
PHYSICAL MEDICINE DEPARTMENT
NEW BRITAIN, CT 060522016
Phone: (860) 224-5121
Type: Location
14605 Potomac Branch Dr Ste 300
Woodbridge, VA 221913337
Phone: (703) 490-1112
Fax: (703) 878-8735
Type: Location
2800 S SHIRLINGTON RD STE 510
ARLINGTON, VA 222063605
Phone: (703) 933-0038
Fax: (703) 933-0199
Type: Location
575 12TH RD S APT 1720
ARLINGTON, VA 222027441
Phone: (860) 748-5380
Type: Mailing
2500 N VAN DORN ST STE 104
ALEXANDRIA, VA 223021601
Phone: (860) 748-5380
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-03-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151002000831 | I | Physical Therapist In Private Practice | DC | TBD |
| I20160328001107 | I | Physical Therapist In Private Practice | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97140 | Therapy procedure using manual technique, each 15 minutes | 981 | 118 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 863 | 114 | $0 |
| 97150 | Therapy procedure in a group setting | 480 | 93 | $0 |
| 97530 | Therapy procedure using functional activities | 272 | 79 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 180 | 58 | $0 |
Insurance plans in this area (ZIP 20118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | PA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | CA | |
| - | VA | |
| - | VA | |
| Physical Therapist In Private Practice | VA | |
| - | VA | |
| - | VA | |
| - | MD |
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