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

Mr. Charles Edward Mack Jr., DPT, PT

Individual provider Physical Therapist · NPI 1376068866

Mr. Charles Edward Mack Jr., DPT, PT is a Physical Therapist in Private Practice in Aldie, Virginia. Qualified in 2017, 9 years ago. Practices with Nova Rehabilitation Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

24560 Southpoint Dr Ste 250
Aldie, VA 20105-3504
Phone: (571) 370-3686
Fax: (571) 370-3687
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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 2305211409 (VA)

Record details

NPI number1376068866
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Nova Rehabilitation Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Aldie