Individual provider Active NPI

Angelique Demeo, DPT

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1801468632
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214573 Issued in VA
Practice address
1102 Rose Hill Dr
Charlottesville, VA 22903-5128
Phone
(434) 979-8628
Fax
(434) 979-8536
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 2305214573 VA Primary

Addresses

Primary practice location

1102 Rose Hill Dr
Charlottesville, VA 22903-5128

Mailing address

357 Windigrove Dr Apt 811
Waynesboro, VA 22980-7494
Phone (718) 689-4677

Other practice location 1

4290 Ivy Rd Ste 120
Charlottesville, VA 22903-7010
Phone (434) 327-5244

Other names 1

  • Mrs. Angelique Lakatos Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221214000178 VA Practitioner - Physical Therapist in Private Practice 7911376983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

1460 Pantops Mountain PL
Charlottesville, VA 22911-4671
Phone (434) 817-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305214573VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients
The Charleston Center, Inc Physical Therapist PastSince Sep 28, 2024 Accepting new patients
Susy Russell Physical Therapy LLC PastSince Mar 1, 2012 Accepting new patients

Locations

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

4290 Ivy Rd
Ste 120
Charlottesville, VA 22903
Phone (434) 327-5244

1460 Pantops Mountain Pl
Charlottesville, VA 22911
Phone (434) 817-4100

1561 Commerce Rd
#402
Verona, VA 24482
Phone (540) 416-0110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1801468632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WINDIGROVE DR APT 811",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229807494",
            "telephone_number": "718-689-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 ROSE HILL DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035128",
            "telephone_number": "434-979-8628",
            "fax_number": "434-979-8536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4290 Ivy Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229037010",
            "country_code": "US",
            "telephone_number": "434-327-5244",
            "fax_number": "434-326-1353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMEO",
        "first_name": "ANGELIQUE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIQUE",
            "last_name": "LAKATOS",
            "prefix": "MRS.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.