SPORT & SPINE REHAB OF STERLING (NPI# 1164619706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164619706 |
| Entity Type | Organization |
| Organization Name | SPORT & SPINE REHAB OF STERLING |
| Practice Address |
46440 Benedict Dr Ste 106 Sterling VA 20164-6602 |
| Mailing Address |
11418 Livingston Rd Ft Washington MD 20744-5145 |
| Practice Telephone | 2407660300 |
| Practice Fax Number | 2407660304 |
| Mailing Telephone | 2407660300 |
| Mailing Fax Number | 2407660304 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |
| Authorized Official Name | TAWANDA HACKLEY (MANGER) |
| Authorized Official Telephone | 2407660300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 0104556529 | VA | Chiropractic Providers |
| N | 111NR0200X |
Chiropractor Specialization: Radiology |
0104556518 | VA | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
0104556529 | VA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 0104556518 | VA | Chiropractic Providers |
| Street Address |
46440 BENEDICT DR STE 106 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060787 | Thomas P Mcgorry | Pediatrics | 46440 Benedict Dr, Ste 206, Sterling, VA 20164-6602 | 2005-06-01 |
| 1861934234 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-11-16 |
| 1043752413 | American Current Care Pa | Clinic/Center | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-11-16 |
| 1104371731 | E R Hughes Enterprises Inc | Dentist | 46440 Benedict Dr, # 201, Sterling, VA 20164-6602 | 2016-08-24 |
| 1750735544 | Loudoun Medical Group PC | Physical Therapist | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-04-18 |
| 1417317553 | Capital Diagnostic Laboratory LLC | Clinical Medical Laboratory | 46440 Benedict Dr, Suite 104, Sterling, VA 20164-6602 | 2016-03-02 |
| 1275929564 | Digitrace Care Services, Inc. | Clinic/Center | 46440 Benedict Dr, Suite 103, Sterling, VA 20164 | 2015-04-13 |
| 1518202001 | Yi Zhang | Nurse Practitioner | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 | 2012-12-10 |
| 1275842387 | Loudoun Community Health Center | Clinic/Center | 46440 Benedict Dr, Suite 208, Sterling, VA 20164-6602 | 2010-10-07 |
| 1356670541 | Erin Elizabeth Collier | Nurse Practitioner | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 | 2009-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494950 | Advanced Chiropractic & Sports Rehabilitation | Chiropractor | 22611 Markey Ct Ste 105, Sterling, VA 20166-6925 | 2020-10-12 |
| 1255986303 | Connect First Family Chiropractic | Chiropractor | 21631 Ridgetop Cir Ste 225b, Sterling, VA 20166-6742 | 2019-08-06 |
| 1356810170 | Michael Robert Brower | Chiropractor | 21631 Ridgetop Cir Ste 155, Sterling, VA 20166-6618 | 2018-11-21 |
| 1730680166 | Debarun Borthakur | Chiropractor | 20 Pidgeon Hill Dr Ste 102, Sterling, VA 20165-6134 | 2018-02-21 |
| 1538566658 | Eric E Gaumer | Chiropractor | 3512 E Lincolnway Ste A, Sterling, IL 61081-7622 | 2014-12-04 |
| 1326475732 | Eric Richard Saxton | Chiropractor | 21240 Ridgetop Cir, Suite 105, Sterling, VA 20166-6560 | 2013-09-30 |
| 1124356456 | Palmercare Chiropractic LLC | Chiropractor | 46169 Westlake Dr Ste 300, Sterling, VA 20165-5875 | 2009-11-24 |
| 1841462306 | Steven Eric Carlson | Chiropractor | 2317 E Lincolnway Ste B, Sterling, IL 61081 | 2008-03-25 |
| 1346421005 | B. Free Chiropractic Services, Inc. | Chiropractor | 2202 Locust St, Sterling, IL 61081-1110 | 2007-11-21 |
| 1396948618 | Carrson Mcdowell Morris | Chiropractor | 100 East St. Se Suite 103, Sterling, VA 22180 | 2007-06-06 |
| Find all providers in STERLING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.