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

Kellie N Wadsworth, DPT

Individual provider Physical Therapist · NPI 1306211347

Kellie N Wadsworth, DPT is a Physical Therapist in Private Practice in Lorton, Virginia. Qualified in 2015, 11 years ago. Practices with The Anderson Clinic Inc, a 80-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10716 Richmond Hwy Ste 103
Lorton, VA 22079-2645
Phone: (703) 892-6500
Fax: (703) 521-3415
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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 2305209869 (VA)

Record details

NPI number1306211347
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 2, 2015
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing address10716 Richmond Hwy Ste 103, Lorton, VA 22079-2645

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Anderson Clinic Inc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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