MEDICARE: DR. REBECCA FITZPATRICK DPT

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	2305214190	VA

General Provider Information

NPI Number	:	1891173035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA FITZPATRICK DPT

Provider Business Mailing Address
First Line	:	2308 CROCKER AVE
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23703-4711
Country	:	US
Telephone Number	:	757-392-7876
Fax Number	:

Provider Business Practice Location Address
First Line	:	7211 GRANBY ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505-4001
Country	:	US
Telephone Number	:	877-407-3422
Fax Number	:	800-597-0848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2015
Last Update Date	:	01/14/2026

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