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

Madison Soupiset, DPT, PT

Individual provider Physical Therapist · NPI 1942075171

Madison Soupiset, DPT, PT is a Physical Therapist in Private Practice in Lake Ridge, Virginia. Qualified in 2023, 3 years ago. Practices with Fusion Physiotherapy Associates LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12825 Minnieville Rd Ste 203
Lake Ridge, VA 22192-3602
Phone: (703) 647-3130
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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 2305216272 (VA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1942075171
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedNovember 17, 2023
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fusion Physiotherapy Associates Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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