Healthcare Provider Details

I. General information

NPI: 1952240996
Provider Name (Legal Business Name): RESILIENT PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43172 KATAMA SQ
CHANTILLY VA
20152-4471
US

IV. Provider business mailing address

8401 MAYLAND DR STE S
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 703-389-3980
  • Fax:
Mailing address:
  • Phone: 703-389-3980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MISHA S GILANI
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 703-389-3980