Individual provider Active NPI

Laura M Fawcett, DPT

  • Physical Therapist
  • Lansdowne, VA
National Provider Identifier
1376771089
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206011 Issued in VA
Practice address
19441 Golf Vista PLZ
Suite 230
Lansdowne, VA 20176-8269
Phone
(703) 724-7474
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206011 VA Primary

Addresses

Primary practice location

19441 Golf Vista PLZ
Suite 230
Lansdowne, VA 20176-8269

Mailing address

19441 Golf Vista PLZ
Suite 230
Lansdowne, VA 20176-8269
Phone (703) 724-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090924000362 VA Practitioner - Physical Therapist in Private Practice 9739235292 Reassigns benefits to 1 organization
I20240328001339 DC Practitioner - Physical Therapist in Private Practice 9739235292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Rehabilitation Network LLCGroup PAC ID 3779588256, 31 clinicians

Practice addresses (Care Compare)

3001 Hungary Spring Rd
Suite D
Richmond, VA 23228-2428
Phone (804) 756-8490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Rehabilitation Network LLC Physical Therapist CurrentSince Aug 13, 2009 Accepting new patients
Progress Rehabilitation Network, LLC Physical Therapist Past Accepting new patients

Locations

3998 Fair Ridge Dr
Ste 125
Fairfax, VA 22033
Phone (703) 646-1270

5618H Ox Rd
Fairfax Station, VA 22039
Phone (703) 426-4949

5300 Hickory Park Dr
Ste 110
Glen Allen, VA 23059
Phone (804) 270-7754

19500 Sandridge Way
Ste 230
Leesburg, VA 20176
Phone (703) 724-7272

19441 Golf Vista Plz
Ste 230
Leesburg, VA 20176
Phone (703) 724-7474

3001 Hungary Spring Rd
Ste D
Richmond, VA 23228
Phone (804) 756-8490

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.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1376771089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLZ",
            "address_2": "SUITE 230",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768269",
            "telephone_number": "703-724-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLZ",
            "address_2": "SUITE 230",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768269",
            "telephone_number": "703-724-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWCETT",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.