Healthcare Provider Details

I. General information

NPI: 1497679732
Provider Name (Legal Business Name): LILY ANNE PARRIS PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 LORTON STATION BLVD STE 240
LORTON VA
22079-4795
US

IV. Provider business mailing address

9010 LORTON STATION BLVD STE 240
LORTON VA
22079-4795
US

V. Phone/Fax

Practice location:
  • Phone: 703-337-1550
  • Fax: 703-337-2184
Mailing address:
  • Phone: 703-337-1550
  • Fax: 703-337-2184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2306606999
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: