RESTORE BALANCE INTEGRATIVE MEDICINE PLLC (NPI# 1215596218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215596218 |
| Entity Type | Organization |
| Organization Name | RESTORE BALANCE INTEGRATIVE MEDICINE PLLC |
| Practice Address |
5236 Dawes Ave Alexandria VA 22311-1404 |
| Mailing Address |
2308 Mount Vernon Ave Ste 757 Alexandria VA 22301-1328 |
| Practice Telephone | 7032152454 |
| Mailing Telephone | 7032152454 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | DR. ANCA I SISU (OWNER) |
| Authorized Official Telephone | 7032152454 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 S Quaker Ln Ste 220, Alexandria, VA 223144500 | 7032152454 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RESTORE BALANCE INTEGRATIVE MEDICINE PLLC | 2308 Mt Vernon Ave #757, Alexandria, Virginia 22301 |
| Street Address |
5236 DAWES AVE |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22311-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730242165 | Heather Carr | Physical Therapist | 5236 Dawes Ave, Alexandria, VA 22311-1404 | 2006-12-18 |
| 1366951196 | Welcoming Nutrition LLC | Nutritionist | 5236 Dawes Ave, Alexandria, VA 22311-1404 | 2017-09-25 |
| 1730608316 | Lucy Ruetiman | Nutritionist | 5236 Dawes Ave, Alexandria, VA 22311-1404 | 2017-09-14 |
| 1558886937 | Kori Dean Reigel | Physical Therapist | 5236 Dawes Ave, Alexandria, VA 22311-1404 | 2017-08-07 |
| 1013439041 | Noelle Ekonomou | Physical Therapist | 5236 Dawes Ave, Alexandria, VA 22311-1404 | 2017-07-12 |
| 1700177862 | One To One Physical Therapy | Physical Therapist | 5236 Dawes Ave, Alexandria, VA 22311-1404 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356995898 | Tika Trotter-mason | Counselor | 1900 N Beauregard Street, Alexandria, VA 22311 | 2019-08-01 |
| 1386179414 | Marian Ramirez Bautista | Nurse Practitioner | 2000 N Beauregard St. Suite 330, Alexandria, VA 22311 | 2017-04-26 |
| 1710294327 | Heather Jo Knowles Scharre | Behavioral Analyst | 4876 West Braddock Road, Alexandria, VA 22311 | 2010-09-02 |
| 1790001980 | Soft Dentistry | Clinic/Center | 5508 Seminary Rd, Alexandria, VA 22311 | 2010-04-13 |
| 1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
| 1114109410 | Chong W. Lee, M.d., P.C. | Surgery | 4901 Seminary Road, #110, Alexandria, VA 22311 | 2007-11-29 |
| 1922298819 | Ramia Gupta | Psychiatry & Neurology | 4551 Strutfield Lane, #4220, Alexandria, VA 22311 | 2007-07-27 |
| 1942422431 | Sheila Jahan Md PC | Psychiatry & Neurology | 5238 Dawes Ave, Alexandria, VA 22311 | 2007-05-03 |
| 1457497380 | Elizabeth Anne Teegarden | Psychologist | 5276 Dawes Avenue, Alexandria, VA 22311 | 2007-01-29 |
| 1609932292 | James A Snyder | Dentist | 5284 Dawes Avenue, Alexandria, VA 22311 | 2006-12-28 |
| Find all providers in zip 22311 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1770147597 | Winn Community Health Center, Inc. | Family Medicine | 601 Cloverleaf Blvd, Alexandria, LA 71303-3808 | 2019-04-26 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1821475823 | Shrey Carpenter | Family Medicine | 3000 Potomac Ave, Alexandria, VA 22305-3084 | 2015-04-29 |
| 1104161801 | Loudoun Medical Group PC | Family Medicine | 901 N Pitt Street, Suite 150, Alexandria, VA 22314-1564 | 2012-12-06 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| 1235484189 | Michelle R Beurlot | Family Medicine | 1587 N Bolton Ave Ste 1100, Alexandria, LA 71303-4255 | 2012-07-17 |
| 1225324775 | David Nicholas Aymond | Family Medicine | 821 Elliott Street, Alexandria, LA 71301 | 2011-06-23 |
| 1902197544 | Sofia H Qureshi | Family Medicine | 300 Commercial Circle, Alexandria, KY 41001-2107 | 2011-05-01 |
| 1215258165 | Anca I Sisu | Family Medicine | 20 S Quaker Ln Ste 220, Alexandria, VA 22314-4500 | 2010-06-15 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22311 |
Please comment or provide details below to improve the information on RESTORE BALANCE INTEGRATIVE MEDICINE PLLC.
| 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.