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

Loudoun Medical Group, PC

Organization Physical Therapist · NPI 1215358155

Loudoun Medical Group, PC is a Physical Therapist in Leesburg, Virginia. Registered with an NPI since 2013.

In the registry since
2013
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

19465 Deerfield Ave Ste 208
Leesburg, VA 20176-1703
Phone: (703) 858-7778
Fax: (703) 988-1925
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1215358155
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Advanced Spine And Sports Therapy; Advanced Spine And Sports Therapy
NPI enumeratedDecember 19, 2013
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing addressPo Box 17334, Baltimore, MD 21297-1334

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