OrganizationCrippled Children'S Hospital(Choldren'S Hospital)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10530 Spotsylvania Ave, Suite 102 Children'S Hospital Therapy Center, Fredericksburg, VA 22408(540) 891-4485(804) 321-7474PECOS EnrollmentBased on the most recent information from CMS, provider Crippled Children'S Hospital 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 3 days ago.Profile DetailsProvider ID1285771626Provider TypeOrganizationFull NameCrippled Children'S HospitalOther NameCholdren'S HospitalSubpartNoEnumeration Date2/1/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address10530 Spotsylvania Ave, Suite 102 Children'S Hospital Therapy Center, Fredericksburg, VA 22408Phone(540) 891-4485Fax(540) 891-4486Mailing LocationMailing Address2924 Brook Rd, Credentialing Dept, Richmond, VA 23220-1215Phone(804) 321-7474Fax(804) 321-2728Authorized OfficialNameWeidman, Samuel G (Vice President & Cfo)Phone(804) 321-7474Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseH1842Virginia