Lilla B Whiteside | Fredericksburg, VA • PECOS Search

Lilla B Whiteside

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

10518 Spotsylvania Ave Ste 100, Fredericksburg, VA 22408-2693

(540) 710-5341 (305) 295-9797

PECOS Enrollment

Based on the most recent information from CMS, provider Lilla B Whiteside does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 35 days ago.

Profile Details

Provider ID
1770524498
Provider Type
Individual
Full Name
Whiteside, Lilla B
Credential
P.T.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/10/2006
Last Updated
5/21/2025

Contact Information

Practice Location

10518 Spotsylvania Ave Ste 100, Fredericksburg, VA 22408-2693

Unlisted Fax

Mailing Location

3428 N Roosevelt Blvd, Key West, FL 33040-4224

(305) 295-9796

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License PT16287 Florida