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

Staci Fredrick, LPTA

Individual provider Physical Therapy Assistant · NPI 1992177877

Staci Fredrick, LPTA is a Physical Therapy Assistant in Norfolk, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2015

Practice location Address checks out

1309 Kempsville Rd
Norfolk, VA 23502-2205
Phone: (757) 461-5001
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306602868 (VA)

Record details

NPI number1992177877
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorYes
NPI enumeratedOctober 30, 2015
Last updated in NPPESOctober 30, 2015
Mailing address1309 Kempsville Rd, Norfolk, VA 23502-2205

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