MEDSTAR HEALTH PHYSICAL THERAPY AT LAKE RIDGE
NPI 1750768024
Clinic/Center - Rehabilitation in Woodbridge, VA
NPI Status: Active since May 06, 2015
Contact Information
12825 MINNIEVILLE RD STE 201
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 647-3130
Fax: (703) 490-6505
- Organization
- Clinic/Center
- Rehabilitation
About MEDSTAR HEALTH PHYSICAL THERAPY AT LAKE RIDGE
This page provides the complete NPI Profile along with additional information for Medstar Health Physical Therapy At Lake Ridge, a provider established in Woodbridge, Virginia operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1750768024 assigned on May 2015. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Medstar Health Physical Therapy At Lake Ridge operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Medstar Health Physical Therapy At Lake Ridge. The authorized official of this NPI record is John Rockwood (President)
- NPI
- 1750768024
- Provider Legal Name
- NATIONAL REHABILITATION HOSPITAL INC
- Other Organization Name
- MEDSTAR HEALTH PHYSICAL THERAPY AT LAKE RIDGE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12825 MINNIEVILLE RD STE 201 WOODBRIDGE, VA 22192
- Location Phone
- (703) 647-3130
- Location Fax
- (703) 490-6505
- Mailing Address
- 102 IRVING ST NW ATTN: MHPT PAYOR ENROLLMENT WASHINGTON, DC 20010
- Mailing Phone
- (301) 540-6140
- Mailing Fax
- (703) 490-6505
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-06-2015
- Last Update Date
- 01-11-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation
- Taxonomy Code
- 261QR0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 3 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 7 | 6 | 8 | 0 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 6 | 16 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 6 + 1 + 6 + 0 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1750768024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
JONATHAN PHUONG
Physical Therapy Assistant
12825 MINNIEVILLE RD STE 201
LAKE RIDGE, VA
ZIP 22192
KRISTINA R MURPHY PT, MPT
Physical Therapist
12825 MINNIEVILLE RD STE 201
LAKE RIDGE, VA
ZIP 22192
KAYLA SHARMA
Occupational Therapist
12825 MINNIEVILLE RD STE 201
LAKE RIDGE, VA
ZIP 22192
CARRIE B GOMOLCHAK PTA
Physical Therapy Assistant
12825 MINNIEVILLE RD STE 201
LAKE RIDGE, VA
ZIP 22192
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750768024, enumerated as an "organization" on May 06, 2015.
The provider is located at 12825 MINNIEVILLE RD STE 201 WOODBRIDGE, VA 22192 and the phone number is (703) 647-3130.
Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.
