PAVILION OUTPATIENT THERAPY LLC
NPI 1689224248
Physical Therapist in Annandale, VA

Active since September 16, 2019
4115 ANNANDALE RD STE 202, ANNANDALE, VA 22003(703) 299-9898(703) 299-9595 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physical Therapist

About PAVILION OUTPATIENT THERAPY LLC

This page provides the complete NPI Profile along with additional information for Pavilion Outpatient Therapy Llc, a provider established in Annandale, Virginia operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1689224248 assigned on September 2019. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Gibson Erhunmwunse Crnp (Ceo)

NPI
1689224248 Verify this NPI
Provider Name
PAVILION OUTPATIENT THERAPY LLC
Entity Type
Organization
Location Address
4115 ANNANDALE RD STE 202 ANNANDALE, VA 22003
Location Phone
(703) 299-9898
Location Fax
(703) 299-9595
Mailing Address
4115 ANNANDALE RD STE 202 ANNANDALE, VA 22003
Mailing Phone
(703) 299-9898
Mailing Fax
(703) 299-9595
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-16-2019
Last Update Date
09-16-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GIBSON ERHUNMWUNSE CRNP

Authorized Official Title
CEO
Authorized Official Phone
(703) 299-9898

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689224248, enumerated as an "organization" on September 16, 2019.

The provider is located at 4115 ANNANDALE RD STE 202 ANNANDALE, VA 22003 and the phone number is (703) 299-9898.

Physical Therapist with taxonomy code 225100000X.