Organization Active NPI

Uplift Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Woodbridge, VA
National Provider Identifier
1407763972
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UPLIFT MEDICAL SUPPLY LLC
Practice address
4310 Ridgewood Center Dr
Woodbridge, VA 22192-5307
Phone
(703) 716-3890
NPI assigned
Aug 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Mrs. Theresa Davis Lyon
Title
Owner
Phone
(703) 716-3890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4310 Ridgewood Center Dr
Woodbridge, VA 22192-5307

Mailing address

4310 Ridgewood Center Dr
Woodbridge, VA 22192-5307
Phone (703) 716-3890

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1407763972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 RIDGEWOOD CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925307",
            "telephone_number": "703-716-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 RIDGEWOOD CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925307",
            "telephone_number": "703-716-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-716-3890",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.