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

Lisa Gordon Latourette, MSPT

Individual provider Physical Therapist · NPI 1356391536

Lisa Gordon Latourette, MSPT is a Physical Therapist in Private Practice in Manassas, Virginia. Qualified in 2000, 26 years ago. Licensed in Virginia.

Years since qualifying
26
Licensed in
VA
In the registry since
2006

Practice location Address checks out

8575 Rixlew Ln
Manassas, VA 20109-3701
Phone: (703) 257-3364
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305203147 (VA)

Record details

NPI number1356391536
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESDecember 30, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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