Individual provider Active NPI

Lauren Beshada, PT

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1639818545
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215002 Issued in VA
Practice address
4040 Fairfax Dr Ste 120
Arlington, VA 22203-1613
Phone
(703) 292-4060
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 2305215002 VA Primary

Addresses

Primary practice location

4040 Fairfax Dr Ste 120
Arlington, VA 22203-1613

Mailing address

4040 Fairfax Dr Ste 120
Arlington, VA 22203-1613
Phone (703) 292-4060

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220715002552 DC Practitioner - Physical Therapist in Private Practice 3274914668 Reassigns benefits to 2 organizations
I20220825000138 VA Practitioner - Physical Therapist in Private Practice 3274914668 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215002VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Jun 17, 2022 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Jun 17, 2022 Accepting new patients

Locations

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

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304

8140 Ashton Ave
Ste 104
Manassas, VA 20109
Phone (703) 257-3333

6564 Loisdale Ct
Ste 500
Springfield, VA 22150
Phone (703) 232-7977

Organizations & group practices 3

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1639818545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 FAIRFAX DR STE 120",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031613",
            "telephone_number": "703-292-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 FAIRFAX DR STE 120",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031613",
            "telephone_number": "703-292-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHADA",
        "first_name": "LAUREN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.