MADISON SOUPISET DPT, PT
NPI 1942075171
Physical Therapist in Lake Ridge, VA

Active since November 17, 2023Accepts Medicare Assignment
12825 MINNIEVILLE RD STE 203, LAKE RIDGE, VA 22192(703) 647-3130 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2024, Nov 17, 2023 (2 updates tracked since 2023).

About Madison Soupiset Dpt, Pt NPPES

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

MADISON SOUPISET DPT, PT (NPI 1942075171) is an individual physical therapist in Lake Ridge, Virginia, licensed in Virginia (2305216272) and active in the NPI registry since November 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1942075171
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMADISON SOUPISETCredential: DPT, PT
Location Address12825 MINNIEVILLE RD STE 203Lake Ridge, VA 22192-3602
Mailing Address5706 Flagler DrCentreville, VA 20120-2959 · (319) 600-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 17, 2023
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1942075171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in VA · 2305216272
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

12825 MINNIEVILLE RD STE 203, Lake Ridge, VA 22192

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Madison Soupiset Dpt, Pt 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 ID4880105378
PECOS Enrollment IDI20250612002019

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942075171, enumerated as an "individual" on November 17, 2023.

The provider is located at 12825 MINNIEVILLE RD STE 203 LAKE RIDGE, VA 22192 and the phone number is (703) 647-3130.

Physical Therapist with taxonomy code 225100000X.