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

Timothy Webb

Individual provider Physical Therapist · NPI 1104414416

Timothy Webb is a Physical Therapist in Private Practice in Fairfax, Virginia. Qualified in 2020, 6 years ago. Practices with Resurgent Sports Rehab LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2021
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Practice location Address checks out

10517 Braddock Rd Ste D
Fairfax, VA 22032-2275
Phone: (571) 351-5618
Fax: (571) 351-5619
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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 2305214075 (VA)

Record details

NPI number1104414416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 4, 2021
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021
Mailing addressPo Box 1769, Middleburg, VA 20118-1769

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Resurgent Sports Rehab Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairfax