MEDICARE: ORTHOVIRGINIA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1174540215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOVIRGINIA, INC.

Provider Business Mailing Address
First Line	:	PO BOX 715868
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19171-6230
Country	:	US
Telephone Number	:	804-915-1910
Fax Number	:

Provider Business Practice Location Address
First Line	:	13350 FRANKLIN FARM ROAD
Second Line	:	STE 300
City	:	HERNDON
State	:	VA
Zip	:	20171-4095
Country	:	US
Telephone Number	:	703-234-1045
Fax Number	:	703-810-5494

Authorized Official
Title or Position	:	CREDENTIALING & ENROLLMENT
Name	:	NICOLE PROFFITT
Credential	:
Telephone Number	:	804-533-2357

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	06/03/2022

Similar Medicare Providers

1174521033 — ANNE BIELAMOWICZ MD
Practice Location Address:

13350 FRANKLIN FARM ROAD , STE 100
HERNDON, VA
20171-4095

Practice Phone: 703-810-5206
Practice Fax: 703-810-5411

1003807405 — THOMAS JOHN SCHYMANSKI PA-C
Practice Location Address:

13350 FRANKLIN FARM ROAD , STE 220
HERNDON, VA
20171-4095

Practice Phone: 703-810-5204
Practice Fax: 703-810-5411

1235187709 — JENNIFER HALE OTR/L, CHT
Practice Location Address:

13350 FRANKLIN FARM RD STE 300
HERNDON, VA
20171-4095

Practice Phone: 703-810-5205
Practice Fax: 703-810-5407

1588687552 — ORTHOVIRGINIA, INC
Practice Location Address:

13350 FRANKLIN FARM ROAD , SUITE 220
HERNDON, VA
20171-4095

Practice Phone: 703-810-5204
Practice Fax:

1083708838 — MARILYN LEPAGE MSPT, COMT, CHT
Practice Location Address:

13350 FRANKLIN FARM RD STE 300
HERNDON, VA
20171-4095

Practice Phone: 703-810-5205
Practice Fax:

1932285111 — ORTHOVIRGINIA OPERATORY
Practice Location Address:

13350 FRANKLIN FARM ROAD , STE 100
HERNDON, VA
20171-4095

Practice Phone: 703-810-5206
Practice Fax:

Directions to “ORTHOVIRGINIA, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.