Active NPI
Aya Abdo
- Physical Therapist
- Woodbridge, VA
National Provider Identifier
1245063577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305216698
- Practice address
- 12544 Dillingham SQ
Woodbridge, VA 22192-5259 - Phone
- (703) 730-6969
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Physical Therapist
- Herndon, VA
- NPI 1427517168
-
- Physical Therapist
- Woodbridge, VA
- NPI 1871598417
NPD (past) PHYSICAL THERAPIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241001000108 | DC | Practitioner - Physical Therapist in Private Practice | 7719418821 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305216698 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Motion LLC | Physical Therapist | Current |
Accepting new patients |
| Lake Ridge Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
950 Herndon Pkwy
Ste 425
Herndon, VA 20170
Phone (703) 249-9192
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305216698 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12544 Dillingham SQ
Woodbridge, VA 22192-5259
Mailing address
12544 Dillingham SQ
Woodbridge, VA 22192-5259
Phone (703) 730-6969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2025.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1245063577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12544 DILLINGHAM SQ",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925259",
"telephone_number": "703-730-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12544 DILLINGHAM SQ",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925259",
"telephone_number": "703-730-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDO",
"first_name": "AYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305216698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.