Melinda R Wowak, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206738 Issued in VA

Practice address

10716 Richmond Hwy Ste 103
Lorton, VA 22079-2645

Phone

(703) 892-6500

Fax

(703) 521-3415

NPI assigned

Aug 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melinda Beddo Former name

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anderson Clinic LLC

  dba Anderson Clinic Inc

  • Orthopaedic Surgery Physician
  • Arlington, VA
  • NPI 1568488799

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Centers for Advanced Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Winchester, VA
  • NPI 1861221863
  Medicare reassignment NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Gainesville, VA
  • NPI 1063393833
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Woodbridge, VA
  • NPI 1396184057
  NPD
• Anderson Clinic LLC

  dba Anderson Clinic Inc

  • Orthopaedic Surgery Physician
  • Oxon Hill, MD
  • NPI 1205666435
  NPD
• Adient Alaska, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Fairbanks, AK
  • NPI 1669796108
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1932391562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063605",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10716 RICHMOND HWY STE 103",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792645",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOWAK",
        "first_name": "MELINDA",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "BEDDO",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• La'Nia M White
• Yonsenia White, LPC, ATR, CMCC
• Barbara Rita Wiater, CRNP
• Masey Wiedenmann, BEHAVIOR TECHNICIAN
• Williamsburg Square Family Practice,P.C.
• Abhinav Yadav, DPT
• Liya Yosuf
• Makonnen K. Zelleke, M.D.
• Irene Zen, PMHNP-BC, MSN, RN
• Zenhands Home Care LLC

• Physical Therapist in Lorton, VA
• Providers in Lorton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.