LAKE RIDGE PHYSICAL THERAPY, LLC. (NPI# 1447434253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447434253 |
| Entity Type | Organization |
| Organization Name | LAKE RIDGE PHYSICAL THERAPY, LLC. |
| Other Organization Name | CHANTILLY PHYSICAL THERAPY |
| Practice Address |
4229 Lafayette Center Drive Suite 1250 Chantilly VA 20151 |
| Mailing Address |
12544 Dillingham Sq Woodbridge VA 22192-5259 |
| Practice Telephone | 7032632020 |
| Practice Fax Number | 7032632015 |
| Mailing Telephone | 7037306969 |
| Mailing Fax Number | 7037301169 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | GARY F BAKER (INSURANCE SPECIALIST) |
| Authorized Official Telephone | 7037306969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ACN | 685023 | 01 |
| VA | AETNA | 7711124 | 01 |
| VA | ANTHEM BC/BS | 197801 | 01 |
| Other Name | Type Code |
|---|---|
| Chantilly Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144404039 | Lake Ridge Physical Therapy, LLC. | Physical Therapist | 5139 Waterway Dr, Montclair, VA 22025-1261 | 2007-12-27 |
| 1871598417 | Lake Ridge Physical Therapy, LLC. | Physical Therapist | 12544 Dillingham Sq, Woodbridge, VA 22192-5259 | 2005-06-20 |
| Street Address |
4229 LAFAYETTE CENTER DRIVE SUITE 1250 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073622742 | Ingrid Insook Chung | Internal Medicine | 4229 Lafayette Center Drive, Suite #1790, Chantilly, VA 20151-1267 | 2006-08-29 |
| 1861616310 | Annandale Medical Associates PC | Internal Medicine | 4229 Lafayette Center Drive, Suite #1790, Chantilly, VA 20151-1267 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669751 | Joy Chirnside Mclaughlin | Physical Therapist | 26097 Iverson Drive, Chantilly, VA 20152 | 2020-11-04 |
| 1285240184 | Desai Physical Therapy, Pllc | Physical Therapist | 14175 Sullyfield Cir Ste 100, Chantilly, VA 20151-1686 | 2020-09-17 |
| 1508406703 | Mohammad Alansari | Physical Therapist | 4630 Stonecroft Blvd, Chantilly, VA 20151-1745 | 2020-01-15 |
| 1942859491 | Ariana Pajazetovic | Physical Therapist | 24801 Pinebrook Rd Ste 215, Chantilly, VA 20152-4112 | 2019-09-07 |
| 1548740350 | Brandon Wenger | Physical Therapist | 4229 Lafayette Center Dr Ste 1250, Chantilly, VA 20151-1266 | 2018-08-21 |
| 1619479383 | Professional Sportscare & Rehab, LLC | Physical Therapist | 25370 Eastern Marketplace Plz, Chantilly, VA 20152-1426 | 2018-03-08 |
| 1538689930 | Kevin Faust | Physical Therapist | 25370 Eastern Marketplace Plz Ste 120, Chantilly, VA 20152-5778 | 2017-06-27 |
| 1427432707 | Claire Minjung Kim | Physical Therapist | 14153 Robert Paris Ct, Suite A, Chantilly, VA 20151-4224 | 2015-07-16 |
| 1962810010 | Amanda Beaufort | Physical Therapist | 25502 Amber Gate Ter, Chantilly, VA 20152-5792 | 2014-07-31 |
| 1407284714 | Brian Woogi Kim | Physical Therapist | 14153 Robert Paris Ct Ste A, Chantilly, VA 20151-4225 | 2013-10-23 |
| Find all providers in CHANTILLY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.