Organization Active NPI

Loudoun Sports Therapy Center, LLC

  • Physical Therapist
  • Sterling, VA
National Provider Identifier
1003915000
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LOUDOUN SPORTS THERAPY CENTER, LLC
Practice address
21355 Ridgetop Cir Ste 310
Sterling, VA 20166-8500
Phone
(703) 450-4300
Fax
(703) 450-5113
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael J Bills, MSPTNPI 1972571826
Title
Owner / President
Phone
(703) 450-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

21355 Ridgetop Cir Ste 310
Sterling, VA 20166-8500

Mailing address

21355 Ridgetop Cir Ste 310
Sterling, VA 20166-8500
Phone (703) 450-4300

Other identifiers 7

IdentifierTypeStateIssuer
196253OtherVAANTHEM
1062039OtherVAAETNA HMO
2139421OtherVAMAMSI
010114691MedicaidVA
515034OtherVAAETNA PPO
5866197OtherVACIGNA
K049OtherVACAREFIRST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mike@loudounsportstherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051028000717 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799702791 Receives reassigned benefits from 7 practitioners
Practice locations: Sterling, VA

National Provider Directory

National Provider Directory

Locations

1850 Town Center Pkwy
Ste 200
Reston, VA 20190

46045 Palisade Pkwy
Fl 3
Sterling, VA 20165
Phone (703) 450-4300

21251 Ridgetop Cir
Ste 140
Sterling, VA 20166
Phone (703) 450-4300

21355 Ridgetop Cir
Ste 310
Sterling, VA 20166
Phone (703) 450-4300

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1003915000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21355 RIDGETOP CIR STE 310",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668500",
            "telephone_number": "703-450-4300",
            "fax_number": "703-450-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21355 RIDGETOP CIR STE 310",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668500",
            "telephone_number": "703-450-4300",
            "fax_number": "703-450-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN SPORTS THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "BILLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "703-450-4300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "196253",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1062039",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2139421",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010114691",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "515034",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5866197",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K049",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mike@loudounsportstherapy.com",
            "affiliation": "N",
            "address_1": "21251 Ridgetop Cir",
            "address_2": "Suite #140",
            "city": "Sterling",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201666644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.