Healthcare Provider Details

I. General information

NPI: 1437302916
Provider Name (Legal Business Name): SARA PEFFLEY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2008
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44035 RIVERSIDE PKWY SUITE 500A
LEESBURG VA
20176-8260
US

IV. Provider business mailing address

9900 MAIN ST SUITE 200A
FAIRFAX VA
22031-3907
US

V. Phone/Fax

Practice location:
  • Phone: 703-858-6667
  • Fax: 703-858-6665
Mailing address:
  • Phone: 703-279-4249
  • Fax: 703-279-4271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT304871
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305004668
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: