Individual provider Active NPI

Lynda Z Reha, DPT

  • Physical Therapist
  • Woodbridge, VA
National Provider Identifier
1912486754
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305002019 Issued in VA
Practice address
13060 Worth Ave
Woodbridge, VA 22192-4120
Phone
(703) 988-3381
Fax
(703) 520-9833
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920002288 DC Practitioner - Physical Therapist in Private Practice 8820349434 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305002019VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Sports, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Mar 16, 2020 Accepting new patients
Alexandria Sports, Inc. PastSince Jan 1, 2023 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

9015 Silverbrook Rd
Ste 10
Fairfax Station, VA 22039
Phone (571) 475-0003

9015 Silverbrook Rd
Ste 103
Fairfax Station, VA 22039
Phone (571) 475-0003

8986 Lorton Station Blvd
Ste 202
Lorton, VA 22079
Phone (571) 380-4770

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305002019 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

13060 Worth Ave
Woodbridge, VA 22192-4120

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2018.

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1912486754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13060 WORTH AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924120",
            "telephone_number": "703-988-3381",
            "fax_number": "703-520-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHA",
        "first_name": "LYNDA",
        "middle_name": "Z",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.