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

Pavilion Outpatient Therapy LLC

Organization Physical Therapist · NPI 1689224248

Pavilion Outpatient Therapy LLC is a Physical Therapist in Annandale, Virginia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4115 Annandale Rd Ste 202
Annandale, VA 22003-2500
Phone: (703) 299-9898
Fax: (703) 299-9595
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1689224248
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPavilion Medical Home Care & Staffing, LLC
Authorized official Gibson Erhunmwunse — Ceo · (703) 299-9898
NPI enumeratedSeptember 16, 2019
Last updated in NPPESSeptember 16, 2019
Mailing address4115 Annandale Rd Ste 202, Annandale, VA 22003-2500

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