LITTLE RIVER PHYSICAL THERAPY LLC
NPI 1699396036
Clinic/Center - Physical Therapy in Annandale, VA
About Little River Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LITTLE RIVER PHYSICAL THERAPY LLC (NPI 1699396036), doing business as Little River Physical Therapy, is a healthcare organization registered as a physical therapy in Annandale, Virginia and active in the NPI registry since April 2020. The organization lists Lisa Marie Fisher, Physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Little River Physical Therapy Llc 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 Little River Physical Therapy LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Little River Physical Therapy LLC's NPI number?
The NPI number for Little River Physical Therapy LLC is 1699396036. It was assigned to this organization in the NPPES registry on April 27, 2020. The provider was formerly known as Little River Physical Therapy.
Where is Little River Physical Therapy LLC located?
Little River Physical Therapy LLC is located at 4216 Evergreen Ln Ste 121, Annandale, VA 22003. The listed phone number is (571) 276-9337.
What is Little River Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Little River Physical Therapy LLC enrolled in Medicare?
Yes. Little River Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Little River Physical Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Little River Physical Therapy LLC. 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 Little River Physical Therapy LLC was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Little River Physical Therapy Llc · NPI 1699396036
Physical Therapy organization in Annandale, Virginia. Organization record, active in the CMS NPPES registry since April 27, 2020.
## Identity
- **NPI:** 1699396036 (Entity type: Organization)
- **Enumerated:** April 27, 2020
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Also known as:** Little River Physical Therapy (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Lisa Fisher, PHYSICAL THERAPIST
## Practice location
- **Address:** 4216 EVERGREEN LN STE 121, Annandale, VA 22003-3256
- **Phone:** (571) 276-9337 · **Fax:** (571) 234-6232
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1699396036) · Data from the CMS NPPES public registry.