Individual provider Active NPI

Meghan Roeder, LPTA

  • Physical Therapy Assistant
  • Lansdowne, VA
National Provider Identifier
1801504378
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306603643 Issued in VA
Practice address
19441 Golf Vista Plaza
Suite 340
Lansdowne, VA 20176-8272
Phone
(703) 723-7726
Fax
(703) 723-4475
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306603643 VA Primary

Addresses

Primary practice location

19441 Golf Vista Plaza
Suite 340
Lansdowne, VA 20176-8272

Mailing address

616 Virginia Beach Blvd,
Suite 107
Virginia Beach, VA 23451-4274
Phone (757) 917-7857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306603643VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Biomechanic Physical Therapy, PLLC CurrentSince Nov 20, 2022 Accepting new patients
Oceanfront Physical Therapy LLC Physical Therapy Assistant CurrentSince Jan 26, 2025 Accepting new patients

Locations

19441 Golf Vista Plz
Ste 340
Leesburg, VA 20176
Phone (703) 723-7726

700 19th St
Ste 101
Virginia Beach, VA 23451
Phone (757) 403-6430

616 Virginia Beach Blvd
Ste 107
Virginia Beach, VA 23451
Phone (757) 917-7857

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1801504378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 VIRGINIA BEACH BLVD,",
            "address_2": "SUITE 107",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514274",
            "telephone_number": "757-917-7857",
            "fax_number": "757-917-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLAZA",
            "address_2": "SUITE 340",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768272",
            "telephone_number": "703-723-7726",
            "fax_number": "703-723-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "MEGHAN",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.