Lake Ridge Physical Therapy, Llc

LBN: Lake Ridge Physical Therapy, Llc
Lake Ridge Physical Therapy, Llc is an health care organization with primary practice located at 12544 Dillingham Sq , Woodbridge VA 22192-5259. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Lake Ridge Physical Therapy, Llc can be contacted via phone (703) 730-6969, or through Anderson, Becky S via phone (703) 730-6969.

Contact Information

Primary practice address
12544 Dillingham Sq Woodbridge VA 22192-5259
Fax: (703) 730-1169
Website:
Authorized official contact:
Name: Anderson, Becky S

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305004216 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305202401 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305003984 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305004144 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305006554 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305204490 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305207715 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305003338 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2306602926 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2306602599 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2306602710 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2306603622 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2306603587 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2306603592 Virginia

Profile Details

NPI number 1871598417
LBN Legal business name Lake Ridge Physical Therapy, Llc
DBA Doing business as
Authorized official Anderson, Becky S
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2005
Last updated Sep 14th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871598417 NPPES
Other S427 CAREFIRST
MEDICAID 1871598417 CAREFIRST

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