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

Elethia V Wampler

Individual provider Physical Therapist · NPI 1992724413

Elethia V Wampler is a Physical Therapist in Private Practice in Woodbridge, Virginia. Qualified in 1982, 44 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
44
Licensed in
VA
In the registry since
2006
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Practice location Address checks out

12825 Minnieville Rd Ste 203
Woodbridge, VA 22192-0045
Phone: (703) 971-3701
Fax: (301) 856-0964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305002121 (VA)

Record details

NPI number1992724413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESSeptember 10, 2012
Mailing address9455 Lorton Market St, Lorton, VA 22079-1963

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Woodbridge