Deluxe Physical Therapy LLC
NPI 1700503067ActiveOrganization· Physical Therapist· Vienna, VA
Physical Therapist in Vienna, Virginia, registered in NPPES in October 2022. The authorized official on file is Petya Djoubrailov, PT, Owner/Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1700503067 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2022 |
| Last updated in NPPES | Sep 16, 2025 |
| Certified by provider | Sep 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (DC) |
|---|
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