NPIMap

Organization Active NPI

Fusion Physiotherapy Associates LLC

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1730530213
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FUSION PHYSIOTHERAPY ASSOCIATES LLC
Practice address
4701 Spotsylvania Pkwy
Suite 106
Fredericksburg, VA 22407-9435
Phone
(540) 710-0100
NPI assigned
Jun 27, 2016
Last updated
Jun 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Travis Stoner, PT, DPT, COMTNPI 1508010380
Title
Physical Therapist
Phone
(540) 710-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4701 Spotsylvania Pkwy
Suite 106
Fredericksburg, VA 22407-9435

Mailing address

4701 Spotsylvania Pkwy Ste 106
Fredericksburg, VA 22407-9435

Other practice location 1

10340 Spotsylvania Ave Ste 201
Fredericksburg, VA 22408-8608
Phone (540) 710-0130

Other practice location 2

212 Butler Rd
Falmouth, VA 22405-2441
Phone (540) 710-5144

Other practice location 3

2560 Huntington Ave Ste 401
Alexandria, VA 22303-1448
Phone (571) 347-7860

Other practice location 4

3558 Northgate Dr
Myrtle Beach, SC 29588-6182
Phone (843) 294-0200

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161103002367 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092093575 Receives reassigned benefits from 19 practitioners
Practice locations: Fredericksburg, VA; King George, VA; Ruther Glen, VA; Falmouth, VA
O20210707000125 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092093575 Receives reassigned benefits from 8 practitioners
Practice locations: Alexandria, VA; Reston, VA

National Provider Directory

National Provider Directory

Locations

3558 Northgate Dr
Myrtle Beach, SC 29588
Phone (843) 294-0200

2560 Huntington Ave
Ste 401
Alexandria, VA 22303
Phone (571) 347-7860

12 Chatham Heights Rd
Ste 102
Fredericksburg, VA 22405
Phone (540) 710-0130

4701 Spotsylvania Pkwy
Ste 106
Fredericksburg, VA 22407
Phone (540) 710-0100

11490 Commerce Park Dr
Ste 412
Reston, VA 20191
Phone (703) 564-4636

17422 Library Blvd
Ruther Glen, VA 22546
Phone (540) 270-4337

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1730530213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PKWY STE 106",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PKWY",
            "address_2": "SUITE 106",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079435",
            "telephone_number": "540-710-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10340 Spotsylvania Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224088608",
            "country_code": "US",
            "telephone_number": "540-710-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "VA",
            "postal_code": "224052441",
            "country_code": "US",
            "telephone_number": "540-710-5144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2560 Huntington Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223031448",
            "country_code": "US",
            "telephone_number": "571-347-7860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3558 Northgate Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295886182",
            "country_code": "US",
            "telephone_number": "843-294-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUSION PHYSIOTHERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "STONER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "540-710-0100",
        "authorized_official_credential": "PT, DPT, COMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 2021; 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.