OrganizationOrthopedic & Sports Physical Therapy Assoc.,(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9530 Cosner Drive, Suite 100, Fredericksburg, VA 22408-8709(540) 898-9141(540) 373-3031PECOS EnrollmentBased on the most recent information from CMS, provider Orthopedic & Sports Physical Therapy Assoc., does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1720266935Provider TypeOrganizationFull NameOrthopedic & Sports Physical Therapy Assoc.,Other Name<Unavail>SubpartNoEnumeration Date2/11/2008Last Updated9/2/2009Contact InformationPractice LocationPractice Address9530 Cosner Drive, Suite 100, Fredericksburg, VA 22408-8709Phone(540) 898-9141Fax(540) 898-3358Mailing LocationMailing Address421 Chatham Square Office Park, Fredericksburg, VA 22405-2561Phone(540) 373-3031Fax(540) 373-9174Authorized OfficialNameRetter, Patricia (Insurance Supervisor)Phone(540) 373-3031Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted Issuer