Healthcare Provider Details
I. General information
NPI: 1689504557
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
22900 SHAW RD STE 101-3
STERLING VA
20166-4311
US
IV. Provider business mailing address
22900 SHAW RD STE 101-3
STERLING VA
20166-4311
US
V. Phone/Fax
- Phone: 800-521-8065
- Fax: 800-291-6624
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANNE
WUHRER
Title or Position: OWNER/OPERATOR
Credential: MPT
Phone: 800-521-8065