Individual provider Active NPI

Meghan Elizabeth Redmond, PT, DPT

  • Physical Therapist
  • Lorton, VA
National Provider Identifier
1497590368
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP032446T Issued in VA
Practice address
7764 Armistead Rd Ste 210
Lorton, VA 22079-1961
Phone
(703) 546-0013
Fax
(703) 546-0014
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA02260000 NJ
Physical Therapist 225100000X CP032446T VA Primary

Addresses

Primary practice location

7764 Armistead Rd Ste 210
Lorton, VA 22079-1961

Mailing address

31 Johnson Dr
Chatham, NJ 07928-1124
Phone (973) 908-5522

Other practice location 1

119 The Plains Rd Ste 100
Middleburg, VA 20117-2691
Phone (540) 687-8181

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240730001300 DC Practitioner - Physical Therapist in Private Practice 5799222535 Reassigns benefits to 1 organization
I20240805001671 VA Practitioner - Physical Therapist in Private Practice 5799222535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

43490 Yukon Dr
Ashburn, VA 20147-6990
Phone (703) 729-7920

7764 Armistead Rd
Suite 210
Lorton, VA 22079-1961
Phone (703) 546-0013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02260000NJMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
The Jackson Clinics LLC Physical Therapist Past Accepting new patients

Locations

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

43490 Yukon Dr
Ste 212
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

7764 Armistead Rd
Ste 210
Lorton, VA 22079
Phone (703) 546-0013

119 The Plains Rd
Ste 100
Middleburg, VA 20117
Phone (540) 687-8181

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1497590368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 JOHNSON DR",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281124",
            "telephone_number": "973-908-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7764 ARMISTEAD RD STE 210",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791961",
            "telephone_number": "703-546-0013",
            "fax_number": "703-546-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 The Plains Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "VA",
            "postal_code": "201172691",
            "country_code": "US",
            "telephone_number": "540-687-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA02260000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP032446T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.