NPIMap

Organization Active NPI

Orthopedic & Sports Physical Therapy Assoc., Inc.

  • Occupational Therapist
  • Fredericksburg, VA
National Provider Identifier
1871653022
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOC., INC.
Practice address
2800 Wellford St
Suite 202
Fredericksburg, VA 22401-3176
Phone
(540) 373-6320
Fax
(540) 373-6385
NPI assigned
Dec 11, 2006
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
Ms. Patricia Retter
Title
Insurance Supervisor
Phone
(540) 373-3031

Specialties & licenses 2

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

Addresses

Primary practice location

2800 Wellford St
Suite 202
Fredericksburg, VA 22401-3176

Mailing address

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

Other names 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1871653022",
    "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": "2800 WELLFORD ST",
            "address_2": "SUITE 202",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013176",
            "telephone_number": "540-373-6320",
            "fax_number": "540-373-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "RETTER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "INSURANCE SUPERVISOR",
        "authorized_official_telephone_number": "540-373-3031",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.