Madison Soupiset, DPT, PT in Lake Ridge, VA - Medicare Physical Therapist In Private Practice Provider

Madison Soupiset, DPT, PT is a medicare enrolled "Physical Therapist" provider in Lake Ridge, Virginia. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Fusion Physiotherapy Associates Llc and her current practice location is 12825 Minnieville Rd Ste 203, Lake Ridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 647-3130.

Madison Soupiset is licensed to practice in Virginia (license number 2305216272) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942075171.

Contact Information

	Madison Soupiset, DPT, PT
	12825 Minnieville Rd Ste 203, Lake Ridge, VA 22192-3602
	(703) 647-3130
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madison Soupiset
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	2 Years
Location	12825 Minnieville Rd Ste 203, Lake Ridge, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Madison Soupiset graduated from medical school in 2023

NPI Data:

NPI Number: 1942075171
Provider Enumeration Date: 11/17/2023
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4880105378
Enrollment ID: I20250612002019

Medical Identifiers

Medical identifiers for Madison Soupiset such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942075171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	2305216272 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fusion Physiotherapy Associates Llc	5092093575	15

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Madison Soupiset allows following entities to bill medicare on her behalf.

Provider Name	Fusion Physiotherapy Associates Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1730530213 PECOS PAC ID: 5092093575 Enrollment ID: O20210707000125

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Madison Soupiset is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Madison Soupiset, DPT, PT 5706 Flagler Dr, Centreville, VA 20120-2959 Ph: (319) 600-2200	Madison Soupiset, DPT, PT 12825 Minnieville Rd Ste 203, Lake Ridge, VA 22192-3602 Ph: (703) 647-3130

Reviews and Comments

Physical Therapist in Lake Ridge, VA

Aldous Peter Joshua Baroro Odulio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12185 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3400
Dr. Lauren Elizabeth Farley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12191 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3400
Gilissa Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12825 Minnieville Rd, Lake Ridge, VA 22192 Phone: 703-971-3701
Gloria Cruz-fontana, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12185 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3486
Kristina R Murphy, PT, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192 Phone: 703-647-3130
Sydney Farley, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12436 Dillingham Sq, Lake Ridge, VA 22192 Phone: 703-340-2921
Lisa Hoang Moser, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12436 Dillingham Sq, Lake Ridge, VA 22192 Phone: 703-340-2921

Madison Soupiset, DPT, PT - Medicare Physical Therapist in Lake Ridge, VA