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

Old Dominion Physical Medicine PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1508250697

Old Dominion Physical Medicine PLLC is a Physical Medicine & Rehabilitation Physician in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in
VA
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5700 Fitzhugh Ave Healthsouth Rehabilitation Hospital
Richmond, VA 23226-1800
Phone: (804) 521-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 0101253471 (VA)

Record details

NPI number1508250697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Wichman — Owner · (804) 521-5310
NPI enumeratedMarch 26, 2015
Last updated in NPPESMarch 26, 2015
Mailing address3900 Westerre Pkwy, Suite 300, Richmond, VA 23233-1478

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