OrganizationActive
Primus Physical Therapy Fairfax
NPI 1104461441 · Physical Therapy Clinic/Center · Fairfax, VA
Provider details
- NPI number
- 1104461441
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kayla Robison, Clinical Services Director(703) 548-4400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3025 Hamaker Ct Ste 103
Fairfax, VA 22031-2221
Phone: (703) 548-4400
Fax: (703) 995-0284
Street-level locationGet directions
Mailing address
6101 Redwood Square Ctr Ste 202
Centreville, VA 20121-4269
Registry dates
- Enumerated
- 2019-11-11
- Last updated
- 2019-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.