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

Individual provider Physical Therapy Assistant · NPI 1669774147

Jason Todd Derting, LPTA is a Physical Therapy Assistant in Fredericksburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2010
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Practice location Address checks out

140 Brimley Rd
Fredericksburg, VA 22406
Phone: (540) 752-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306602034 (VA)

Record details

NPI number1669774147
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorYes
NPI enumeratedDecember 3, 2010
Last updated in NPPESDecember 3, 2010
Mailing address6801 Orchid Ln, Fredericksburg, VA 22407-8502

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