Individual provider Active NPI

Ann K Lodovichetti, PT, DPT

  • Physical Therapist
  • Aldie, VA
National Provider Identifier
1013251420
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207684 Issued in VA
Practice address
24560 Southpoint Dr Ste 250
Aldie, VA 20105-3504
Phone
(571) 370-3686
Fax
(571) 370-3687
NPI assigned
Nov 26, 2012
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT023095 PA
Physical Therapist 225100000X 2305207684 VA Primary

Addresses

Primary practice location

24560 Southpoint Dr Ste 250
Aldie, VA 20105-3504

Mailing address

PO Box 1769
Middleburg, VA 20118-1769
Phone (571) 370-3686

Other practice location 1

1616 Hungtindon Pike
Meadowbrook, PA 19046
Phone (703) 978-3300

Other names 1

  • Ms. Ann K Bowman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171115000234 PA Practitioner - Physical Therapist in Private Practice 8628334299 Reassigns benefits to 1 organization
I20210809001748 DC Practitioner - Physical Therapist in Private Practice 8628334299 Reassigns benefits to 2 organizations
I20221216000735 VA Practitioner - Physical Therapist in Private Practice 8628334299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28537MDMDMental Health Counselor
PT023095PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 13, 2017 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 13, 2017 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

192 Halpine Rd
Ste D
Rockville, MD 20852
Phone (240) 514-2400

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

779 W Sproul Rd
Springfield, PA 19064
Phone (484) 470-2150

24560 Southpoint Dr
Ste 250
Aldie, VA 20105
Phone (571) 370-3686

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

5900 Fort Dr
Ste 208
Centreville, VA 20121
Phone (703) 830-6360

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

119 The Plains Rd
Ste 100
Middleburg, VA 20117
Phone (540) 687-8181

Interoperability endpoints

  • Direct secure messaging: ann.k.lodovichetti@upmcdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1013251420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201181769",
            "telephone_number": "571-370-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 250",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053504",
            "telephone_number": "571-370-3686",
            "fax_number": "571-370-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 Hungtindon Pike",
            "address_purpose": "LOCATION",
            "city": "Meadowbrook",
            "state": "PA",
            "postal_code": "19046",
            "country_code": "US",
            "telephone_number": "703-978-3300",
            "fax_number": "703-978-6216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LODOVICHETTI",
        "first_name": "ANN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT023095",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "BOWMAN",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aldie, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.