Organization
LOUDOUN SPORTS THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J BILLS MSPT (OWNER / PRESIDENT)
(703) 450-4300
Entity
Organization
Contact information
Practice address
21355 RIDGETOP CIR STE 310, STERLING, VA 20166-8500
(703) 450-4300
(703) 450-5113
Mailing address
21355 RIDGETOP CIR STE 310, STERLING, VA 20166-8500
(703) 450-4300
(703) 450-5113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010114691
—
VA
01
—
1062039
AETNA HMO
VA
01
—
196253
ANTHEM
VA
01
—
2139421
MAMSI
VA
01
—
515034
AETNA PPO
VA
01
—
5866197
CIGNA
VA
01
—
K049
CAREFIRST
VA
Enumeration date
09/22/2006
Last updated
07/28/2025
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