Healthcare Provider Details

I. General information

NPI: 1619864956
Provider Name (Legal Business Name): GABRIELLE GENEVA SKOREY DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10517 BRADDOCK RD STE D
FAIRFAX VA
22032-2275
US

IV. Provider business mailing address

PO BOX 1769
MIDDLEBURG VA
20118-1769
US

V. Phone/Fax

Practice location:
  • Phone: 571-351-5618
  • Fax: 571-351-5619
Mailing address:
  • Phone: 703-208-1002
  • Fax: 703-208-1127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217312
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: