Healthcare Provider Details

I. General information

NPI: 1841621901
Provider Name (Legal Business Name): JOBIN V JAMES DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2013
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8006 CRESCENT PARK DR
GAINESVILLE VA
20155-3444
US

IV. Provider business mailing address

1773 STAR BATT DR
ROCHESTER HILLS MI
48309-3708
US

V. Phone/Fax

Practice location:
  • Phone: 703-436-2288
  • Fax: 703-740-4888
Mailing address:
  • Phone: 248-601-9207
  • Fax: 248-650-8670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305210740
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: