Provider Demographics
NPI:1891036430
Name:CATOCTIN PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:CATOCTIN PHYSICAL THERAPY, PLLC
Other - Org Name:PT DOC, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HOPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:703-943-8776
Mailing Address - Street 1:35161 GREYFRIAR DR
Mailing Address - Street 2:
Mailing Address - City:ROUND HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20141-2397
Mailing Address - Country:US
Mailing Address - Phone:703-943-8776
Mailing Address - Fax:
Practice Address - Street 1:35161 GREYFRIAR DR
Practice Address - Street 2:
Practice Address - City:ROUND HILL
Practice Address - State:VA
Practice Address - Zip Code:20141-2397
Practice Address - Country:US
Practice Address - Phone:703-943-8776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
VA2305206706261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2305206706Medicaid
VA2305206706Medicare Oscar/Certification
VA2305206706Medicare NSC
VA2305206706Medicaid