Provider Demographics
NPI:1730124900
Name:SITTERDING, BETH ANN (DPT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:SITTERDING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:1400 JOHNSTON WILLIS DR
Practice Address - Street 2:SUITE B
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4765
Practice Address - Country:US
Practice Address - Phone:804-379-3840
Practice Address - Fax:804-379-9567
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305203833225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA540885859OtherCORVEL
VA258462OtherSOUTHERN HEALTH
VA540885859OtherMULTIPLAN
VA98999OtherOPTIMA HEALTH
VA0472640004OtherDMERC
VA3529798OtherAETNA HMO
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA192295OtherANTHEM ST. MARY'S PT
VA540885859OtherFIRST HEALTH/CCN
VA540885859OtherCOMPMANAGEMENT
VAP00615741OtherRAILROAD MEDICARE
VA010051436Medicaid
VA540885859OtherVIRGINIA HEALTH NETWORK
VA540885859OtherC&O EMPLOYEE'S HEALTHCARE
VA540885859OtherFOCUS
VA010051436Medicaid
VA0472640004Medicare NSC