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Rappahannock Foot & Ankle Specialist

(<Unavail>)

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

195 Falcon Dr, Fredericksburg, VA 22408-1930

PECOS Enrollment

Based on the most recent information from CMS, provider Rappahannock Foot & Ankle Specialist does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1447405931
Provider Type
Organization
Full Name
Rappahannock Foot & Ankle Specialist
Other Name
<Unavail>

Subpart
Yes
Enumeration Date
11/25/2008
Last Updated
1/23/2025

Contact Information

Practice Location

195 Falcon Dr, Fredericksburg, VA 22408-1930

(540) 735-0260

(540) 735-0262

Mailing Location

195 Falcon Dr, P.O. Box 8389, Fredericksburg, VA 22408-1930

(540) 735-0260

(540) 735-0262

Authorized Official

Donato, Michael Christopher (Co-Owner)

(540) 371-2724

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 2305204442 Virginia
Code 225200000X	Description Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 2306001121 Virginia
Code 225200000X	Description Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 2306000293 Virginia

Rappahannock Foot & Ankle Specialist

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Shulleeta, Alexandra

Park, Yoojin

Dauch, Mary A. F.

Orthopedic & Sports Physical Therapy Assoc.,

Humphreys, Paul E

Bass, Heather Tinney

Jergenson, Abigail

Bove, Rebecca Marie

Shegogue, Michelle Susann

Justice, Amy L