Organization
ORTHOVIRGINIA, INC.
Active
Organization
ORTHOVIRGINIA, INC.
Active
Parent organization
ORTHOVIRGINIA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOVIRGINIA, INC.
Authorized official
NICOLE PROFFITT (CREDENTIALING & ENROLLMENT)
(804) 533-2357
Entity
Organization
Contact information
Practice address
1920 BALLENGER AVENUE, SUITE 200, ALEXANDRIA, VA 22314-6818
(703) 810-5208
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-4067
(804) 915-1910
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/03/2020
Last updated
08/17/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up