Lake Ridge Physical Therapy, LLC
NPI 1871598417 · Physical Therapist · Woodbridge, VA
Enrolled with Medicare as Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Ridge Physical Therapy, LLC is a Physical Therapist organization in Woodbridge, VA (NPI 1871598417).
Provider details
- NPI number
- 1871598417
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Becky Anderson, Vice President/Practice Manager(703) 730-6969
- License
- 2305202401 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-06-20
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Frequently asked questions
- What is Lake Ridge Physical Therapy, LLC's NPI number?
- Lake Ridge Physical Therapy, LLC's National Provider Identifier (NPI) is 1871598417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Ridge Physical Therapy, LLC?
- Lake Ridge Physical Therapy, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Lake Ridge Physical Therapy, LLC located?
- Lake Ridge Physical Therapy, LLC's practice location on file with NPPES is 12544 Dillingham Sq, Woodbridge, VA 22192-5259.
- What is Lake Ridge Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Ridge Physical Therapy, LLC is (703) 730-6969.
- Does Lake Ridge Physical Therapy, LLC accept Medicare?
- Lake Ridge Physical Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Ridge Physical Therapy, LLC?
- The authorized official listed on Lake Ridge Physical Therapy, LLC's NPPES record is Becky Anderson, Vice President/Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Ridge Physical Therapy, LLC's NPI active?
- Yes — Lake Ridge Physical Therapy, LLC's NPI (1871598417) is active in the NPPES registry as of the last update on 2022-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.