Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Clinic, PLLC

Organization Physical Therapist · NPI 1265954960

Evergreen Clinic, PLLC is a Physical Therapist in Gainesville, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14540 John Marshall Hwy Ste 202
Gainesville, VA 20155-1693
Phone: (703) 753-9700
Fax: (703) 753-9701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305209030 (VA)

Record details

NPI number1265954960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Stiles — Physical Therapist · (443) 622-9641
NPI enumeratedJuly 13, 2017
Last updated in NPPESJuly 13, 2017
Mailing address15670 Hunton Ln, Haymarket, VA 20169-1733

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