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

Andrew Keith Mazur, DPT

Individual provider Physical Therapist · NPI 1902899719

Andrew Keith Mazur, DPT is a Physical Therapist in Private Practice in Dulles, Virginia. Qualified in 2010, 16 years ago. Practices with Fairfax Family Practice Centers PC, a 106-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico and Virginia.

Years since qualifying
16
Licensed in
NM, VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

24430 Stone Springs Blvd Ste 400
Dulles, VA 20166-2268
Phone: (703) 776-5040
Fax: (703) 776-5047
Show map & directions

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

Additional practice locations (1)

  • 46440 Benedict Dr, Sterling, VA 20164-6602 — (703) 450-1125

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305205338 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2502 (NM)

Record details

NPI number1902899719
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 26, 2005
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Fairfax Family Practice Centers Pc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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