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LAKE RIDGE PHYSICAL THERAPY LLC NPI 1871598417


NPI Information

NPI: 1871598417
Provider Name: LAKE RIDGE PHYSICAL THERAPY, LLC
Classification: Physical Therapist - 225100000X
Entity Type: Organization
Address:
12544 DILLINGHAM SQ
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 730-6969
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LAKE RIDGE PHYSICAL THERAPY, LLC is a physical therapist in Woodbridge, VA. The provider is physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices. LAKE RIDGE PHYSICAL THERAPY, LLC NPI is 1871598417. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12544 DILLINGHAM SQ
WOODBRIDGE, VA
ZIP 22192-259
Phone: (703) 730-6969
Fax: (703) 730-1169

The provider's authorized official is Becky S Anderson .
The authorized official title is Vice President/practice Manager and has the following contact phone number (703) 730-6969.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 9/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical Therapist2305202401VIRGINIANo
2225100000XPhysical Therapist2305003984VIRGINIANo
3225100000XPhysical Therapist2305004144VIRGINIANo
4225100000XPhysical Therapist2305006554VIRGINIANo
5225100000XPhysical Therapist2305204490VIRGINIANo
6225100000XPhysical Therapist2305207715VIRGINIANo
7225100000XPhysical Therapist2305003338VIRGINIANo
8225100000XPhysical Therapist2306602926VIRGINIANo
9225100000XPhysical Therapist2306602599VIRGINIANo
10225100000XPhysical Therapist2306602710VIRGINIANo
11225100000XPhysical Therapist2306603622VIRGINIANo
12225100000XPhysical Therapist2306603587VIRGINIANo
13225100000XPhysical Therapist2306603592VIRGINIANo
14225100000XPhysical Therapist2305004216VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S427OTHERCAREFIRST
21871598417MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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