NPIMap

Organization Active NPI

Orthopedic & Sports Physical Therapy Assoc.,

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1457530271
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOC.,
Practice address
421 Chatham Square Office Park
Fredericksburg, VA 22405-2561
Phone
(540) 373-3031
Fax
(540) 373-9174
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Retter
Title
Insurancce Supervisor
Phone
(540) 373-3031

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

421 Chatham Square Office Park
Fredericksburg, VA 22405-2561

Mailing address

421 Chatham Square Office Park
Fredericksburg, VA 22405-2561
Phone (540) 373-3031

Other identifiers 1

IdentifierTypeStateIssuer
CA9888OtherVAMEDICARE RAILROAD

Other names 1

  • Orthopedic & Sports Physical Therapy Assoc.,Inc, Div of Pratt Med Ctr Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000406 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214841303 Receives reassigned benefits from 4 practitioners
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory
Tax ID family
Orthopedic Sports Physical Therapy Assoc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2800 Wellford St
Ste 202
Fredericksburg, VA 22401
Phone (540) 373-6320

421 Chatham Square Office Park
Ofc Pk
Fredericksburg, VA 22405

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1457530271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 CHATHAM SQUARE OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052561",
            "telephone_number": "540-373-3031",
            "fax_number": "540-373-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CHATHAM SQUARE OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052561",
            "telephone_number": "540-373-3031",
            "fax_number": "540-373-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "RETTER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "INSURANCCE SUPERVISOR",
        "authorized_official_telephone_number": "540-373-3031"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CA9888",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic & Sports Physical Therapy Assoc.,Inc, Div of Pratt Med Ctr",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.