Individual provider Active NPI

Vinila N Peddiboyina, PT

  • Physical Therapist
  • Sterling, VA
National Provider Identifier
1437624582
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213072 Issued in VA
Practice address
46090 Lake Center PLZ Ste 303
Sterling, VA 20165-5879
Phone
(571) 771-3130
Fax
(703) 991-5649
NPI assigned
Oct 4, 2018
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 2305213072 VA Primary

Addresses

Primary practice location

46090 Lake Center PLZ Ste 303
Sterling, VA 20165-5879

Mailing address

PO Box 2901
Merrifield, VA 22116-2901
Phone (703) 646-2250

Other practice location 1

2841 Hartland Rd Ste 403
Falls Church, VA 22043-3500
Phone (703) 646-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200117000148 DC Practitioner - Physical Therapist in Private Practice 7719312867 Reassigns benefits to 2 organizations
I20231109003031 VA Practitioner - Physical Therapist in Private Practice 7719312867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Health Solutions LLCGroup PAC ID 2769785179, 6 clinicians

Practice addresses (Care Compare)

2841 Hartland Rd
Suite 403
Falls Church, VA 22043-3500
Phone (703) 646-2250

46090 Lake Ctr PLZ
Suite 303
Sterling, VA 20165-5879
Phone (571) 771-3130

5675 Stone Rd
Suite 200
Centreville, VA 20120-1667
Phone (703) 357-6161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Joint Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Revive Physical Therapy LLC Physical Therapist CurrentSince Nov 9, 2025 Accepting new patients
Allied Health Solutions LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
My PT Emr PastSince Jan 15, 2023 Accepting new patients

Locations

5675 Stone Rd
Ste 200
Centreville, VA 20120
Phone (703) 357-6161

2841 Hartland Rd
Ste 403
Falls Church, VA 22043
Phone (703) 646-2250

205 Hirst Rd
Ste 201
Purcellville, VA 20132
Phone (540) 751-4455

46090 Lake Center Plz
Ste 303
Sterling, VA 20165
Phone (571) 771-3130

73 Edmond Rd
Ste 2
Kearneysville, WV 25430
Phone (304) 774-4467

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1437624582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2901",
            "city": "MERRIFIELD",
            "state": "VA",
            "postal_code": "221162901",
            "telephone_number": "703-646-2250",
            "fax_number": "703-991-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ STE 303",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655879",
            "telephone_number": "571-771-3130",
            "fax_number": "703-991-5649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2841 HARTLAND RD STE 403",
            "address_purpose": "LOCATION",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433500",
            "country_code": "US",
            "telephone_number": "703-646-2250",
            "fax_number": "571-771-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDDIBOYINA",
        "first_name": "VINILA",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.