Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Ridge Physical Therapy, LLC

Organization Physical Therapist · NPI 1871598417

Lake Ridge Physical Therapy, LLC is a Physical Therapist in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
Specialties on file
14
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12544 Dillingham Sq
Woodbridge, VA 22192-5259
Phone: (703) 730-6969
Fax: (703) 730-1169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305004216 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2305202401 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2305003984 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2305004144 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2305006554 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2305204490 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2305207715 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2305003338 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2306602926 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2306602599 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2306602710 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2306603622 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2306603587 (VA)
Physical Therapist Taxonomy 225100000X · Licence 2306603592 (VA)

Record details

NPI number1871598417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Becky Anderson — Vice President/Practice Manager · (703) 730-6969
NPI enumeratedJune 20, 2005
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022
Mailing address12544 Dillingham Sq, Woodbridge, VA 22192-5259

Other providers in Woodbridge