Active NPI
Therapaedic Physical Therapy
- Physical Therapy Clinic/Center
- Woodbridge, VA
National Provider Identifier
1316337637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 009844
- Legal business name
- THERAPAEDIC PHYSICAL THERAPY
- Practice address
- 5800 Mapledale PLZ
Woodbridge, VA 22193-4535 - Phone
- (703) 680-3332
- Fax
- (703) 680-1365
- NPI assigned
- Jan 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lindsey Anderson, DPT
- Title
- Owner
- Phone
- (404) 441-3289
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 009844 | GA | Primary |
Addresses
Primary practice location
5800 Mapledale PLZ
Woodbridge, VA 22193-4535
Mailing address
2621 Crossvine Dr
Dumfries, VA 22026-3053
Phone (404) 441-3289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Annandale, VA
- NPI 1013201706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668643200000",
"number": "1316337637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 CROSSVINE DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220263053",
"telephone_number": "404-441-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 MAPLEDALE PLZ",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221934535",
"telephone_number": "703-680-3332",
"fax_number": "703-680-1365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPAEDIC PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-26",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-441-3289",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "GA",
"license": "009844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
- The Retina Group of Washington, PLLC
- The Retina Group of Washington, PLLC
- The Social Skills Center, P.C.
- Anna J Theis, PT
- Theodore Supportive Service
- Therapeutic Innovations ABA LLC (Therapeutic Innovations)
- Therapeutic Pathways LLC
- Therapeutic Solutions, LLC
- Therapy and Life Counseling
- Therapy Management Services, Inc. (CompRehab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.