Makeda Fikre-Selassie

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216833 Issued in VA

Practice address

12825 Minnieville Rd Ste 201
Lake Ridge, VA 22192-3602

Phone

(703) 647-3130

NPI assigned

Apr 25, 2023

Last updated

Sep 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services LLCGroup PAC ID 1355347410, 304 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1952099202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11961 CARDAMOM DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921435",
            "telephone_number": "240-381-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12825 MINNIEVILLE RD STE 201",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221923602",
            "telephone_number": "703-647-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKRE-SELASSIE",
        "first_name": "MAKEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216833",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominion Cardiovascular Associates, P.C.
• Tara Esmaeili
• Lauren Elizabeth Farley, DPT
• Sydney Farley, PT, DPT
• Stephanie Fellenberg, PSYD
• Flagship Rehabilitation, Inc
• Foot and Ankle Specialists of the Mid Atlantic LLC
• Sara Jeanne Glessner, MSN, FNP-C, RNFA
• Golden Home Healthcare Services, LLC
• Mary Graham, MD

• Physical Therapist in Lake Ridge, VA
• Providers in Lake Ridge, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.