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

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