MEDICARE: ARTIZO LLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1710843529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTIZO LLC

Provider Business Mailing Address
First Line	:	103 SKYHILL RD APT 8
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-5105
Country	:	US
Telephone Number	:	310-721-0068
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N WASHINGTON ST STE 207
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-3433
Country	:	US
Telephone Number	:	310-721-0068
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CRIS FEDALIZO
Credential	:	DPT
Telephone Number	:	310-721-0068

Provider Enumeration Date	:	12/25/2025
Last Update Date	:	12/25/2025

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Directions to “ARTIZO LLC ” Practice Location

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