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

Mr. Vinod Mathew

Individual provider Physical Therapist · NPI 1407165004

Mr. Vinod Mathew is a Physical Therapist in Private Practice in Lansdowne, Virginia. Qualified in 2001, 25 years ago. Practices with Nova Rehabilitation Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
25
Licensed in
VA
In the registry since
2010
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Practice location Address checks out

19465 Deerfield Ave Ste 108
Lansdowne, VA 20176-1702
Phone: (703) 415-6037
Fax: (703) 986-3205
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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 2305205535 (VA)

Record details

NPI number1407165004
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 29, 2010
Last updated in NPPESNovember 3, 2016
Mailing address19490 Sandridge Way, Ste 170, Lansdowne, VA 20176-3467

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Nova Rehabilitation Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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