Lake Ridge Physical Therapy, LLC
NPI 1871598417ActiveOrganization· Physical Therapist· Woodbridge, VA
Physical Therapist in Woodbridge, Virginia, registered in NPPES in June 2005. The authorized official on file is Becky S. Anderson, Vice President/Practice Manager. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services.
Overview
| NPI | 1871598417 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2005 |
| Last updated in NPPES | Sep 14, 2022 |
| Certified by provider | Sep 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2305004216 | VA |
| Physical Therapist | 225100000X | 2305202401 | VA |
| Physical Therapist | 225100000X | 2305003984 | VA |
| Physical Therapist | 225100000X | 2305004144 | VA |
| Physical Therapist | 225100000X | 2305006554 | VA |
| Physical Therapist | 225100000X | 2305204490 | VA |
| Physical Therapist | 225100000X | 2305207715 | VA |
| Physical Therapist | 225100000X | 2305003338 | VA |
| Physical Therapist | 225100000X | 2306602926 | VA |
| Physical Therapist | 225100000X | 2306602599 | VA |
| Physical Therapist | 225100000X | 2306602710 | VA |
| Physical Therapist | 225100000X | 2306603622 | VA |
| Physical Therapist | 225100000X | 2306603587 | VA |
| Physical Therapist | 225100000X | 2306603592 | VA |
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 A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (VA) |
|---|
Other Physical Therapist providers in Woodbridge
- 1578188876
- 1972839199
- 1598476707
- 1417353129
- 1013501212
- 1790640761
- 1548714959
- 1447891551
- 1366292427
- 1770544397
- 1457357022
- 1073074845