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

Michail S Baskaron

Individual provider Physical Therapist · NPI 1326538679

Michail S Baskaron is a Physical Therapist in Private Practice in Centreville, Virginia. Qualified in 2022, 4 years ago. Practices with The Temple Foundation Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

6430 Selby Ct
Centreville, VA 20121-2547
Phone: (508) 202-8508
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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 2305215553 (VA)
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1326538679
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2018
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address6430 Selby Ct, Centreville, VA 20121-2547

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Temple Foundation Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Centreville