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MRS. LISA C BAMBERGER M.S. CCC-SLP
NPI 1255905592
Speech-Language Pathologist in Springfield, VA

Active since May 19, 2021Accepts Medicare Assignment
6929 MATTHEW PL, SPRINGFIELD, VA 22151(703) 813-1800 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Lisa C Bamberger M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA C BAMBERGER M.S. CCC-SLP (NPI 1255905592) is an individual speech-language pathologist provider in Springfield, Virginia, licensed in Virginia (2202005005) and active in the NPI registry since May 2021. She is a graduate of Other (1990).

NPPES Registry Identity

NPI1255905592
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. LISA C BAMBERGERCredential: M.S. CCC-SLP
Location Address6929 MATTHEW PLSpringfield, VA 22151-3607
Mailing Address7695 Lavenham LndgAlexandria, VA 22315-3712 · (410) 236-5796
Phone(703) 813-1800
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 19, 2021
NPPES CertifiedMay 19, 2021
✔ NPI 1255905592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in VA · 2202005005
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
6929 MATTHEW PL, Springfield, VA 22151
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa C Bamberger M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789108374
PECOS Enrollment IDI20250404000494

Medicare Billing Reassignment

Medicare enrollment records show Lisa Bamberger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Healthcare Services, Inc
9.6 mi
Physical Therapist
5901 MACARTHUR BLVD NW
Washington, DC 20016
  • Reassigned Medicare billing, District of Columbia enrollment
  • 69 clinicians in this Medicare group
NPI 1255750030 (919) 424-5080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS PAMELA ELAINE PATZ M.S./CCC/SLP
Speech-Language Pathologist
6929 MATTHEW PL
SPRINGFIELD, VA 22151
Fairfax County (703) 256-1228
MRS. AZAM NIKHAH ZIARI LPTA
Physical Therapy Assistant
6929 MATTHEW PL
SPRINGFIELD, VA 22151
Fairfax County (703) 813-1800
MS. KATHRYN JOAN DIETRICH OTR/L
Occupational Therapist
6929 MATTHEW PL
SPRINGFIELD, VA 22151
Fairfax County (703) 813-1800
GARY MICHAEL NEWMAN PTA
Physical Therapy Assistant
6929 MATTHEW PL
SPRINGFIELD, VA 22151
Fairfax County (703) 813-1800
MRS. GAIL MARIE JONES OTR
Specialist
6929 MATTHEW PL
SPRINGFIELD, VA 22151
Fairfax County (703) 813-1800
VIRGINIA INTERNAL MEDICINE INC
Internal Medicine
6929 MATTHEW PL
SPRINGFIELD, VA 22151
Fairfax County (703) 813-1800
MRS. ABIGAIL WEIK NORELL MSPT
Physical Therapist
6929 MATTHEW PL
SPRINGFIELD, VA 22151
Fairfax County (703) 813-1800
NATALIE SMITH ROCK
Physical Therapist
6929 MATTHEW PL
SPRINGFIELD, VA 22151
Fairfax County (571) 327-5301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bamberger's NPI number?

The NPI number for Lisa Bamberger is 1255905592. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Lisa Bamberger located?

Lisa Bamberger practices at 6929 Matthew Pl, Springfield, VA 22151. The listed phone number is (703) 813-1800.

What is Lisa Bamberger's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lisa Bamberger enrolled in Medicare?

Yes. Lisa Bamberger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Bamberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bamberger reassigns Medicare benefits to Legacy Healthcare Services, Inc (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Bamberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Bamberger was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.