Healthcare Provider Details

I. General information

NPI: 1487584363
Provider Name (Legal Business Name): PHYSTECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 BRADDOCK RD STE 100
SPRINGFIELD VA
22151-2110
US

IV. Provider business mailing address

8001 BRADDOCK RD STE 100
SPRINGFIELD VA
22151-2110
US

V. Phone/Fax

Practice location:
  • Phone: 800-521-8065
  • Fax: 833-291-6624
Mailing address:
  • Phone:
  • 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: ANNE WUHRER
Title or Position: OWNER/OPERATOR
Credential: MPT
Phone: 800-521-8065