PHYSIOCORE LLC
NPI 1770196370
Home Health in Fairfax, VA

Active since August 25, 2020
10268 LATNEY RD, FAIRFAX, VA 22032(703) 399-5058 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Physiocore Llc NPPES

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

PHYSIOCORE LLC (NPI 1770196370) is a healthcare organization registered as a home health in Fairfax, Virginia and active in the NPI registry since August 2020. The organization lists Jamie Bennett, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1770196370
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePHYSIOCORE LLC
Location Address10268 LATNEY RDFairfax, VA 22032-3256
Mailing Address10268 Latney RdFairfax, VA 22032-3256 · (703) 399-5058
Organization SubpartNo
Authorized OfficialJamie BennettPhysical Therapist · (703) 399-5058
Enumeration DateAugust 25, 2020
NPPES CertifiedAugust 25, 2020
NPI 1770196370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

10268 LATNEY RD, Fairfax, VA 22032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770196370, enumerated as an "organization" on August 25, 2020.

The provider is located at 10268 LATNEY RD FAIRFAX, VA 22032 and the phone number is (703) 399-5058.

Home Health with taxonomy code 251E00000X.