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Lake Ridge Physical Therapy, LLC

Physical Therapist in Woodbridge, VA · enumerated 2005 · authorized official Becky Anderson, Vice President/Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871598417

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Ridge Physical Therapy, LLC
Practice address 12544 Dillingham Sq, Woodbridge, VA, 22192
Phone (703) 730-6969
Fax (703) 730-1169
Enumeration date Jun 20, 2005
Last updated in NPPES Sep 14, 2022

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2305004216 (VA) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2305202401 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2305003984 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2305004144 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2305006554 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2305204490 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2305207715 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2305003338 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2306602926 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2306602599 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2306602710 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2306603622 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2306603587 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2306603592 (VA) Secondary

Authorized official

Name Becky Anderson
Title Vice President/Practice Manager
Phone (703) 730-6969

Other identifiers

Identifier Type State Issuer
S427 Other - CAREFIRST
1871598417 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lake Ridge Physical Therapy, LLC?
NPPES lists Becky Anderson (Vice President/Practice Manager) as the authorized official for this organization.
What is the NPI number for Lake Ridge Physical Therapy, LLC?
The NPI for Lake Ridge Physical Therapy, LLC is 1871598417, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-14.