GREAT FALLS PHYSICAL THERAPY LLC
NPI 1497304976
Physical Therapist in Great Falls, VA

Active since September 08, 2019
766 WALKER RD STE B, GREAT FALLS, VA 22066(703) 349-1030(703) 364-5124 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2026, Jul 17, 2020, Mar 23, 2020 and 4 more (7 updates tracked since 2019).

About Great Falls Physical Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT FALLS PHYSICAL THERAPY LLC (NPI 1497304976) is a healthcare organization registered as a physical therapist in Great Falls, Virginia and active in the NPI registry since September 2019. The organization maintains a secondary practice location in Great Falls and lists Mary Jean Stack, Owner, as its authorized official.

NPPES Registry Identity

NPI1497304976
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameGREAT FALLS PHYSICAL THERAPY LLC
Location Address766 WALKER RD STE BGreat Falls, VA 22066-2650
Mailing Address766 Walker Rd Ste BGreat Falls, VA 22066-2650 · (703) 349-1030 · Fax (703) 364-5124
Fax(703) 364-5124
Organization SubpartNo
Authorized OfficialMary Jean StackOwner · (703) 349-1030
Enumeration DateSeptember 8, 2019
Last NPPES UpdateJune 4, 20267 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1497304976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
766 WALKER RD STE B, Great Falls, VA 22066

Secondary Practice Location 1

Location 110135 Colvin Run Rd Ste 100Great Falls, VA 22066-1872 · Phone (703) 349-1030 · Fax (703) 364-5124

Other Identifiers 1

Other1508262734Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Falls Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Great Falls Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Physical Therapist in Private Practice
NPI 1043588932
766 WALKER RD STE B
Great Falls, VA 22066
(703) 349-1030
Same address
Physical Therapist in Private Practice
NPI 1508262734
766 WALKER RD STE B
Great Falls, VA 22066
(202) 349-1030
Same address
Physical Therapist in Private Practice
NPI 1497291769
766 WALKER RD STE B
Great Falls, VA 22066
(703) 364-1030
Same address
Physical Therapist in Private Practice
NPI 1164736096
10135 COLVIN RUN RD STE 100
Great Falls, VA 22066
(703) 621-0962
1.7 mi
Physical Therapist in Private Practice
NPI 1588032551
10135 COLVIN RUN RD STE 100
Great Falls, VA 22066
(703) 349-1030
1.7 mi
Physical Therapist in Private Practice
NPI 1134616147
10135 COLVIN RUN RD
Great Falls, VA 22066
(703) 637-8624
1.7 mi
Physical Therapist in Private Practice
NPI 1245065671
10135 COLVIN RUN RD STE 101
Great Falls, VA 22066
(703) 349-1030
1.7 mi
Physical Therapist in Private Practice
NPI 1972154409
10135 COLVIN RUN RD STE 100
Great Falls, VA 22066
(703) 349-1030
1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Falls Physical Therapy LLC's NPI number?

The NPI number for Great Falls Physical Therapy LLC is 1497304976. It was assigned to this organization in the NPPES registry on September 8, 2019.

Where is Great Falls Physical Therapy LLC located?

Great Falls Physical Therapy LLC is located at 766 Walker Rd Ste B, Great Falls, VA 22066. The listed phone number is (703) 349-1030.

What is Great Falls Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Great Falls Physical Therapy LLC enrolled in Medicare?

Yes. Great Falls Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Falls Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Great Falls Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Great Falls Physical Therapy LLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.