Healthcare Provider Details

I. General information

NPI: 1538074257
Provider Name (Legal Business Name): KATELYN HERBSTRITT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7965 HERITAGE VILLAGE PLZ
GAINESVILLE VA
20155-3077
US

IV. Provider business mailing address

22858 ARBOR VIEW DR
BRAMBLETON VA
20148-6983
US

V. Phone/Fax

Practice location:
  • Phone: 571-486-1899
  • Fax:
Mailing address:
  • Phone: 571-486-1899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number2305217911
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: