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

Immaculate Physical Therapy PC

Organization Physical Therapist · NPI 1013234657

Immaculate Physical Therapy PC is a Physical Therapist 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
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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