Individual provider Active NPI

Christopher Fosdick, DPT

  • Physical Therapist
  • Colonial Heights, VA
National Provider Identifier
1679922504
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210228 Issued in VA
Practice address
300B Temple Lake Dr Ste 1
Colonial Heights, VA 23834-2973
Phone
(804) 524-9036
Fax
(804) 524-9039
NPI assigned
Jun 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305210228 VA Primary

Addresses

Primary practice location

300B Temple Lake Dr Ste 1
Colonial Heights, VA 23834-2973

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

10373 Democracy Ln Ste A
Fairfax, VA 22030-2588
Phone (703) 753-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190808003724 VA Practitioner - Physical Therapist in Private Practice 4587991872 Reassigns benefits to 1 organization
I20210216000116 DC Practitioner - Physical Therapist in Private Practice 4587991872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

300 B Temple Lake Dr
Suite 1
Colonial Heights, VA 23834-2973
Phone (804) 524-9036

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305210228VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Results Rehab & Fitness, Inc Physical Therapist CurrentSince Apr 27, 2025 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

6325 Multiplex Dr
Unit 2
Centreville, VA 20121
Phone (571) 932-3470

300B Temple Lake Dr
Ste 1
Colonial Heights, VA 23834
Phone (804) 452-4903

10373 Democracy Ln
Ste A
Fairfax, VA 22030
Phone (703) 385-2855

7521 Virginia Oaks Dr
Ste 240
Gainesville, VA 20155
Phone (703) 753-7600

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1679922504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B TEMPLE LAKE DR STE 1",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342973",
            "telephone_number": "804-524-9036",
            "fax_number": "804-524-9039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10373 Democracy Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220302588",
            "country_code": "US",
            "telephone_number": "703-753-7600",
            "fax_number": "703-753-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSDICK",
        "first_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.