Organization
ORTHOVIRGINIA INC
Active
Organization
ORTHOVIRGINIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN FERRELL (EXECUTIVE DIRECTOR)
(757) 297-1688
Entity
Organization
Contact information
Practice address
4995 WESTONE PLZ, CHANTILLY, VA 20151-2294
(703) 559-7131
(703) 810-5226
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 915-1910
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/12/2025
Last updated
08/28/2025
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