Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Immaculate Physical Therapy PC

Organization Physical Therapist · NPI 1013234657

Immaculate Physical Therapy PC provides Physical Therapist services in Vienna, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

117 Casmar St SE
Vienna, VA 22180-6610 Not confirmed with CMS for 16 years — call before visiting
Phone: (703) 309-7028
Fax: (800) 928-5061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305205493 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2305204191 (VA)

Record details

NPI number1013234657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dalia Elashker — Director · (703) 309-7028
NPI enumeratedApril 21, 2010
Last updated in NPPESApril 21, 2010
Mailing address117 Casmar St Se, Vienna, VA 22180-6610

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