Individual ProviderLilla B WhitesidePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10518 Spotsylvania Ave Ste 100, Fredericksburg, VA 22408-2693(540) 710-5341(305) 295-9797PECOS EnrollmentBased on the most recent information from CMS, provider Lilla B Whiteside 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 ID1770524498Provider TypeIndividualFull NameWhiteside, Lilla BCredentialP.T.GenderFemaleSole ProprietorYesEnumeration Date6/10/2006Last Updated5/21/2025Contact InformationPractice LocationPractice Address10518 Spotsylvania Ave Ste 100, Fredericksburg, VA 22408-2693Phone(540) 710-5341FaxUnlisted FaxMailing LocationMailing Address3428 N Roosevelt Blvd, Key West, FL 33040-4224Phone(305) 295-9797Fax(305) 295-9796Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT16287Florida