Manage your provider profile.

Provider accounts are free. Submit your role and contact details for verification. A claim request does not grant account access or create an active account.

Create a free provider account with your work email before your claim is approved.

What you’ll need to claim a profile

A verified email address, normally on the same domain as your organization’s official website.
Your name, role, and authority to manage the requested organization or locations.
Approval by an Injury Med Map administrator before any management access is granted.

Use a different email domain? You can still request access. We’ll manually verify your authority, for example by contacting the organization using independently confirmed details. A matching domain alone does not grant access.

After approval, you can manage public contact details and request updates for your approved locations. Claiming a profile does not confirm acceptance of PI or workers’ comp cases.

Do not send passwords, identity documents, or patient information with your claim.

Please share basic contact information only. Do not include patient identifiers, medical records, or detailed injury information.

Your name *Your email *Phone (optional)

Choose the provider location you represent *

Selected: ATI Physical Therapy — Alexandria - Duke St — Alexandria, VA

Find by provider name, city or ZIP

Not listed? Create a free account and propose your practice or location.

Do you require third-party funding before accepting a patient? *Answer for the location you’re claiming, or all locations if claiming an organization. This means funding for your treatment charges, not a patient’s request for settlement funding. Funding-required locations will remain off the public map and listings initially. We use this information internally to understand provider funding needs; submitting this form does not arrange or guarantee funding.Your role at this organization * I consent to Injury Med Map processing this request and contacting me about it. Privacy information.

Requests go to an internal review queue. Sending a request does not schedule care or establish a provider relationship.