Organization Active NPI

Therapaedic Physical Therapy

  • Physical Therapy Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1316337637
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
009844 Issued in GA
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

Updated by the provider on Nov 17, 2022

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20221116001009 VA Part B Supplier - Clinic/Group Practice 7315321080 Receives reassigned benefits from 3 practitioners
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "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

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.

Verify at the official NPI Registry.