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

MS. Broadwin B Adesegun, DPT

Individual provider Physical Therapist · NPI 1548349996

MS. Broadwin B Adesegun, DPT is a Physical Therapist in Private Practice in Ashburn, Virginia. Qualified in 2005, 21 years ago. Practices with Gainesville Physical Therapy Incorporated, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
21
Licensed in
VA
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

43490 Yukon Dr Ste 212
Ashburn, VA 20147-7326
Phone: (703) 729-7920
Fax: (703) 729-7923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 657 Nathaniel Chase Ln, Herndon, VA 20170-4970 — (571) 235-7898

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305204402 (VA)

Record details

NPI number1548349996
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022
Mailing address657 Nathaniel Chase Ln, Herndon, VA 20170-4970

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Gainesville Physical Therapy Incorporated — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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