Medstar Health Physical Therapy At Lake Ridge is a
Clinic/center - Rehabilitation based in Woodbridge, Virginia. Medstar Health Physical Therapy At Lake Ridge is licensed to practice in * (Not Available) (license number ) and their current practice location is
12825 Minnieville Rd Ste 201, Woodbridge, Virginia. It can be reached at their office (for appointments etc.) via phone at
(703) 647-3130.
NPI number for Medstar Health Physical Therapy At Lake Ridge is 1750768024 and their current mailing address is 102 Irving St Nw, Attn: Mhpt Payor Enrollment, Washington, District Of Columbia. Medstar Health Physical Therapy At Lake Ridge
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1750768024.
Healthcare Provider's Profile
| Full Name | Medstar Health Physical Therapy At Lake Ridge |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | 12825 Minnieville Rd Ste 201, Woodbridge, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750768024
- Provider Enumeration Date: 05/06/2015
- Last Update Date: 01/11/2024
Medical Identifiers
Medical identifiers for Medstar Health Physical Therapy At Lake Ridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750768024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Medstar Health Physical Therapy At Lake Ridge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Medstar Health Physical Therapy At Lake Ridge
102 Irving St Nw, Attn: Mhpt Payor Enrollment,
Washington, DC 20010-2921
Ph: (301) 540-6140 | Medstar Health Physical Therapy At Lake Ridge
12825 Minnieville Rd Ste 201,
Woodbridge, VA 22192-3602
Ph: (703) 647-3130 |
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