Little River Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LITTLE RIVER PHYSICAL THERAPY LLC

Practice address

4216 Evergreen LN Ste 121
Annandale, VA 22003-3256

Phone

(571) 276-9337

Fax

(571) 234-6232

NPI assigned

Apr 27, 2020

Last updated

May 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Marie Fisher, PTNPI 1437314622

Title

Physical Therapist

Phone

(571) 276-9337

Specialties & licenses 2

Addresses

Other names 1

• Little River Physical Therapy Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Marie Fisher, PT

  • Physical Therapist
  • Annandale, VA
  • NPI 1437314622

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1699396036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 OAK RIDGE DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121237",
            "telephone_number": "571-276-9337",
            "fax_number": "571-234-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 EVERGREEN LN STE 121",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033256",
            "telephone_number": "571-276-9337",
            "fax_number": "571-234-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE RIVER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "571-276-9337",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "littleriverpt@therapysecure.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4216 Evergreen Ln Ste 121",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220033256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Little River Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• LHCG LXXX, LLC (PHR Home Health of Annandale)
• Eric Anthony Libre, MD
• Meesun Lim, D.D.S.
• Lili Lin, DPT
• Meghan J. Lindgren, D.D.S.
• Little River Speech & Language
• Litus Innovations LLC
• Living Free Health Services
• Karen Livornese, RN, MSN
• Robert Lobo

• Physical Therapy Clinic/Center in Annandale, VA
• Providers in Annandale, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.