MEDICARE: NATASHA M SMOOK PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305215093	VA

General Provider Information

NPI Number	:	1538890975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA M SMOOK PT, DPT

Provider Business Mailing Address
First Line	:	PO BOX 1769
Second Line	:
City	:	MIDDLEBURG
State	:	VA
Zip	:	20118-1769
Country	:	US
Telephone Number	:	703-824-0701
Fax Number	:	703-824-0704

Provider Business Practice Location Address
First Line	:	5115 LEESBURG PIKE
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-3207
Country	:	US
Telephone Number	:	703-824-0701
Fax Number	:	703-824-0704

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2022
Last Update Date	:	05/13/2026

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