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

Mr. William E. Fetterolf Jr., PT

Individual provider Physical Therapist · NPI 1164446118

Mr. William E. Fetterolf Jr., PT is a Physical Therapist in Private Practice in Virginia Beach, Virginia. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
29
Licensed in
VA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

616 Virginia Beach Blvd Ste 107
Virginia Beach, VA 23451-4274
Phone: (757) 917-7857
Fax: (757) 917-7875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305006246 (VA)

Record details

NPI number1164446118
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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