Individual
MATTHEW D BABBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
24801 PINEBROOK RD STE 200, CHANTILLY, VA 20152-4113
(703) 722-2525
(703) 327-6708
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214847
VA
225100000X
Physical Therapist
PT010119L
PA
2251S0007X
Sports Physical Therapist
PT010119L
PA
2251X0800X
Orthopedic Physical Therapist
PT010119L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052130
ORTHONET
PA
01
—
02168901
BLUE CROSS
PA
01
—
02168901
KEYSTONE CENTRAL
—
01
—
7703097
AETNA
PA
01
—
869617
BLUE SHIELD
PA
01
—
896917
PERSONAL CHOICE
PA
Enumeration date
09/20/2005
Last updated
02/11/2022
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