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

Vanessa Leilani Song

Individual provider Physical Therapist · NPI 1306622394

Vanessa Leilani Song is a Physical Therapist in Private Practice in Fairborn, Ohio. Qualified in 2023, 3 years ago. Practices with Ortho Advantage LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023

Practice location Address checks out

1002 Rainbow Ct
Fairborn, OH 45324-6365
Phone: (800) 824-9861
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 020686 (OH)

Record details

NPI number1306622394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2023
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

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 Ortho Advantage Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairborn