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

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

Practice location Address checks out

12475 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2803
Phone: (703) 352-7172
Show map & directions

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
Mailing address22683 Beacon Crest Ter, Brambleton, VA 20148-6427

Other providers in Fairfax