IDEAL WELLNESS, PLLC
NPI 1568819266
Clinic/Center - Physical Therapy in Woodbridge, VA

Active since May 23, 2016
3310 NOBLE POND WAY STE 215, WOODBRIDGE, VA 22193(571) 989-2001(571) 376-7015 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ideal Wellness, Pllc NPPES

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

IDEAL WELLNESS, PLLC (NPI 1568819266) is a healthcare organization registered as a physical therapy in Woodbridge, Virginia and active in the NPI registry since May 2016. The organization lists Kristy Blair, Owner, as its authorized official.

NPPES Registry Identity

NPI1568819266
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameIDEAL WELLNESS, PLLC
Location Address3310 NOBLE POND WAY STE 215Woodbridge, VA 22193-1472
Mailing Address16004 Normandy CtWoodbridge, VA 22191-4321 · (571) 989-2001 · Fax (571) 376-7015
Fax(571) 376-7015
Organization SubpartNo
Authorized OfficialKristy BlairOwner · (860) 608-5019
Enumeration DateMay 23, 2016
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1568819266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in VA · 2305207764
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3310 NOBLE POND WAY STE 215, Woodbridge, VA 22193

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ideal Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ideal Wellness, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1952561532
16004 NORMANDY CT
Woodbridge, VA 22191
(860) 608-5019
✔ Accepts Medicare3.2 mi

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

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 Ideal Wellness, PLLC's NPI number?

The NPI number for Ideal Wellness, PLLC is 1568819266. It was assigned to this organization in the NPPES registry on May 23, 2016.

Where is Ideal Wellness, PLLC located?

Ideal Wellness, PLLC is located at 3310 Noble Pond Way Ste 215, Woodbridge, VA 22193. The listed phone number is (571) 989-2001.

What is Ideal Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Ideal Wellness, PLLC enrolled in Medicare?

Yes. Ideal Wellness, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ideal Wellness, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Ideal Wellness, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ideal Wellness, PLLC was last updated on February 23, 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.