Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Dominion Orthopaedics and Sports Medicine, PC

Organization Orthopaedic Surgery Physician · NPI 1073564951

Old Dominion Orthopaedics and Sports Medicine, PC is an Orthopaedic Surgery Physician in Manassas, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8644 Sudley Rd Ste 308
Manassas, VA 20110-4417
Phone: (703) 369-9070
Fax: (703) 369-9240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1073564951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelyn Gantt — Billing Manager · (703) 369-9070
Other names Northern Virginia Orthopaedic Specialist
NPI enumeratedMay 15, 2006
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023
Mailing address8644 Sudley Rd, Ste. 308, Manassas, VA 20110-4425

Other providers in Manassas