Healthcare Provider Details

I. General information

NPI: 1518881911
Provider Name (Legal Business Name): MATTHEW STRANGE DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4238 WILSON BLVD STE 2165
ARLINGTON VA
22203-1823
US

IV. Provider business mailing address

12701 FAIR LAKES CIR STE 102
FAIRFAX VA
22033-4913
US

V. Phone/Fax

Practice location:
  • Phone: 571-290-7644
  • Fax: 571-290-4004
Mailing address:
  • Phone: 571-290-7644
  • Fax: 571-290-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217936
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: