Active NPI
Rebecca Derting, PTA
- Physical Therapy Assistant
- Fredericksburg, VA
National Provider Identifier
1720472541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602036
- Practice address
- 5308 River Rd Ste PT
Fredericksburg, VA 22407-2231 - Phone
- (540) 548-2943
- Fax
- (866) 484-1672
- NPI assigned
- Mar 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602036 | VA | Primary |
Addresses
Primary practice location
5308 River Rd Ste PT
Fredericksburg, VA 22407-2231
Mailing address
PO Box 1975
Rome, GA 30162-1975
Phone (844) 733-0211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602036 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1720472541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1975",
"city": "ROME",
"state": "GA",
"postal_code": "301621975",
"telephone_number": "844-733-0211",
"fax_number": "866-484-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5308 RIVER RD STE PT",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224072231",
"telephone_number": "540-548-2943",
"fax_number": "866-484-1672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERTING",
"first_name": "REBECCA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-19",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Dental Professionals of Virginia, P.C. (Dental Care at Chancellor Crossing)
- Derek J. Galatro, DDS, PC (Fredericksburg Dental Associates)
- Dermatology Associates of Fredericksburg
- Dermatology Center PC
- Jason Todd Derting, LPTA
- Katherine Dervin, LCSW
- Meeta Desai, M.D.
- Neela Desai, RPH
- Denise McClung Desando
- Kevin Ray Deshazo, PHARMACY TECHNICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.