Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Supriya Ravuru

Individual provider Physical Therapist · NPI 1578049615

Supriya Ravuru is a Physical Therapist in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
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Practice location Address checks out

12475 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2803
Phone: (703) 352-7172
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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 2305208320 (VA)

Record details

NPI number1578049615
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2018
Last updated in NPPESJuly 12, 2018

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients16
Services billed 164 a service is one billed item, such as a visit, a test or a procedure
Average patient age86

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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