Active NPI
Lynn Kulla, PT
- Physical Therapist
- Springfield, VA
National Provider Identifier
1083805477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211149
- Practice address
- 6225 Brandon Ave Ste 130
Springfield, VA 22150-2519 - Phone
- (703) 569-7500
- NPI assigned
- Aug 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305211149 | VA | Primary |
Addresses
Primary practice location
6225 Brandon Ave Ste 130
Springfield, VA 22150-2519
Mailing address
1289 Oliver St
Fayetteville, NC 28304-4450
Phone (910) 483-8331
Other practice location 1
1289 Oliver St
Fayetteville, NC 28304-4450
Phone (910) 483-8331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305211149 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleming Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
| Pediatric Developmental Therapy | Past | Accepting new patients | |
| Pediatric Developmental Therapy | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
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- NPI 1194925818
Physical Therapist
-
- Rehabilitation Practitioner
- Fayetteville, NC
- NPI 1710183991
-
- Speech-Language Pathologist
- Fayetteville, NC
- NPI 1730137779
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1083805477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1289 OLIVER ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044450",
"telephone_number": "910-483-8331",
"fax_number": "910-483-8335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6225 BRANDON AVE STE 130",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221502519",
"telephone_number": "703-569-7500"
}
],
"practiceLocations": [
{
"address_1": "1289 Oliver St",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283044450",
"country_code": "US",
"telephone_number": "910-483-8331",
"fax_number": "910-483-8335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULLA",
"first_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.