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General NPI Number Information
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NPI Number | 1407741069
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Entity Type | Organization
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Legal Business Name | ORTHOVIRGINIA INC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 4995 WESTONE PLZ
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City | CHANTILLY
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State | VA
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Zip | 20151-2294
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Country | US
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Telephone | 703-559-7131
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Fax | 703-810-5226
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Provider Business Mailing Address
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Address Line | PO BOX 715868
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City | PHILADELPHIA
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State | PA
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Zip | 19171-5868
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Country | US
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Telephone | 804-915-1910
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Fax | 804-915-1910
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JUSTIN FERRELL
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Credential |
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Telephone | 757-297-1688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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