LISA GORDON LATOURETTE MSPT
NPI 1356391536
Physical Therapist in Manassas, VA
About Lisa Gordon Latourette Mspt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA GORDON LATOURETTE MSPT (NPI 1356391536) is an individual physical therapist in Manassas, Virginia, licensed in Virginia (2305203147) and active in the NPI registry since May 2006. She is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Gordon Latourette Mspt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Latourette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbridge, VA 22192
- Reassigned Medicare billing, Virginia enrollment
- 47 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Latourette's NPI number?
The NPI number for Lisa Latourette is 1356391536. It was assigned to this individual provider in the NPPES registry on May 11, 2006. The provider is also known as Lisa Dyann Gordon Mspt.
Where is Lisa Latourette located?
Lisa Latourette practices at 8575 Rixlew Ln, Manassas, VA 20109. The listed phone number is (703) 257-3364.
What is Lisa Latourette's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Lisa Latourette enrolled in Medicare?
Yes. Lisa Latourette is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Latourette's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Latourette reassigns Medicare benefits to Powerback Rehabilitation LLC (Woodbridge, VA). 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 Latourette'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 Latourette was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.