Active NPI
Lynda Z Reha, DPT
- Physical Therapist
- Woodbridge, VA
National Provider Identifier
1912486754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305002019
- 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.
-
- Rehabilitation Clinic/Center
- Lorton, VA
- NPI 1710517966
Physical Therapist
-
- Rehabilitation Clinic/Center
- Burke, VA
- NPI 1285659789
-
- Physical Therapist
- Woodbridge, VA
- NPI 1548714959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305002019 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Sports, Inc. | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| Alexandria Sports, Inc. | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305002019 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.