Professional Physical Therapy LLC
Professional Physical Therapy LLC is a healthcare organization registered as Physical Therapist in Dumfries, VA, holding Type 2 (organization) NPI 1114321619 since 2014. The authorized official on file is Douglas Chan, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114321619 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Professional Physical Therapy LLC |
| Practice address | 3767 FETTLER PARK DR, Dumfries, VA, 22025 |
| Phone | 7037306400 |
| Enumeration date | 2014-10-14 |
| Last updated in NPPES | 2016-06-02 |
Authorized official
| Name | Douglas Chan |
|---|---|
| Title | Owner |
| Phone | 7037306400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | — | VA |
Copy-ready billing details
Provider: Professional Physical Therapy LLC NPI: 1114321619 Taxonomy: 225100000X (Physical Therapist) Address: 3767 FETTLER PARK DR, Dumfries, VA, 22025
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336182559 | Brittany Blough | Individual | Physical Therapist | Dumfries, VA |
Verify this record
Cross-check NPI 1114321619 against the authoritative CMS record: view Professional Physical Therapy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Professional Physical Therapy LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-06-02.