Healthcare Provider Details

I. General information

NPI: 1891036430
Provider Name (Legal Business Name): CATOCTIN PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 01/14/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35161 GREYFRIAR DR
ROUND HILL VA
20141-2397
US

IV. Provider business mailing address

35161 GREYFRIAR DR
ROUND HILL VA
20141-2397
US

V. Phone/Fax

Practice location:
  • Phone: 703-943-8776
  • Fax:
Mailing address:
  • Phone: 703-943-8776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number2305206706
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT JOSEPH HOPSON
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 703-943-8776