Active NPI
Meghan Roeder, LPTA
- Physical Therapy Assistant
- Lansdowne, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306603643
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2306603643 | VA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biomechanic Physical Therapy, PLLC | Current | Accepting new patients | |
| Oceanfront Physical Therapy LLC | Physical Therapy Assistant | Current | 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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1538971999
Physical Therapy Assistant
-
- Physical Therapist
- Hanover, PA
- NPI 1609904069
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.