SPORT & SPINE OF REHAB MCLEAN PLLC (NPI# 1497967251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497967251 |
| Entity Type | Organization |
| Organization Name | SPORT & SPINE OF REHAB MCLEAN PLLC |
| Practice Address |
6845 Elm St Ste 425 Mc Lean VA 22101-6007 |
| Mailing Address |
9300 Livingston Rd Ste 100 Ft Washington MD 20744-4914 |
| Practice Telephone | 7034485799 |
| Practice Fax Number | 2407660304 |
| Mailing Telephone | 2407660300 |
| Mailing Fax Number | 2407660304 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2011-05-06 |
| Authorized Official Name | DR. JAY S GREENSTEIN (CEO) |
| Authorized Official Telephone | 2407660300 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEPT OF LABOR | 611706800 | 01 | |
| BCBS OF NCA | G746 | 01 | |
| MAMSI | 2136310 | 01 | |
| OPTIMUM CHOICE | 2136310 | 01 | |
| CIGNA PPO | 672723 | 01 | |
| ALLIANCE | 2136310 | 01 | |
| ASHN CIGNA HMO | 1060259 | 01 | |
| AETNA PPO | 7229667 | 01 | |
| MDIPA | 2136310 | 01 | |
| AETNA HMO | 3846233 | 01 |
| Street Address |
6845 ELM ST STE 425 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758098 | Richard Lee Roth | Psychiatry & Neurology | 6845 Elm St, Ste 210, Mc Lean, VA 22101-3822 | 2005-05-27 |
| 1467901702 | Danielle May | Physician Assistant | 6845 Elm St, Suite 708, Mc Lean, VA 22101-6007 | 2016-09-28 |
| 1699113159 | Sooyeon Caritas Ahn | Dentist | 6845 Elm St, Suite 450, Mc Lean, VA 22101-6007 | 2013-06-06 |
| 1821330002 | M. Renee Jespersen, Md PC | Plastic Surgery | 6845 Elm St, Suite 708, Mc Lean, VA 22101-6007 | 2013-03-26 |
| 1992069918 | Eun Young Lee | Dentist | 6845 Elm St, Mc Lean, VA 22101-6007 | 2012-06-25 |
| 1023314333 | Sok Woong Daniel Han | Dentist | 6845 Elm St, 450, Mc Lean, VA 22101-6007 | 2011-02-03 |
| 1740590405 | Integrative Oral & Facial Surgery LLC | Dentist | 6845 Elm St, Suite 305, Mc Lean, VA 22101-6007 | 2010-10-15 |
| 1891938783 | Pinky Khatri | Audiologist | 6845 Elm St, Suite 303, Mc Lean, VA 22101-6007 | 2009-04-08 |
| 1932352838 | David E. Hiatt Phd Md PC | Clinic/Center | 6845 Elm St, Suite 400, Mc Lean, VA 22101-6007 | 2008-10-23 |
| 1780832949 | Kathleen D. Solomon | Specialist | 6845 Elm St, 600, Mc Lean, VA 22101-6007 | 2008-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
| Find all providers in zip 22101 | ||||
| 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 |
|---|---|---|---|---|
| 1689188419 | Palmercare Chiropractic Mclean LLC | Chiropractor | 6862 Elm St Ste 810, Mc Lean, VA 22101-3868 | 2017-12-01 |
| 1396171971 | Charles Changyun Cho | Chiropractor | 6732 Old Mclean Village Dr, Mc Lean, VA 22101-3977 | 2013-09-16 |
| 1902149065 | Adriana N Backus | Chiropractor | 6862 Elm St Ste 600, Mc Lean, VA 22101-3862 | 2013-03-27 |
| 1376095372 | Mclean Chiropractic, Rehab and Massage Center LLC | Chiropractor | 1340 Old Chain Bridge Rd, 300a, Mc Lean, VA 22101-3955 | 2016-10-26 |
| 1740665793 | Kyle Graham | Chiropractor | 8200 Jones Branch Dr, Mc Lean, VA 22102-3107 | 2015-07-20 |
| 1497153993 | Balance Sport & Spine LLC | Chiropractor | 6862 Elm St, Suite 600, Mc Lean, VA 22101-3897 | 2014-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494950 | Advanced Chiropractic & Sports Rehabilitation | Chiropractor | 22611 Markey Ct Ste 105, Sterling, VA 20166-6925 | 2020-10-12 |
| 1588261960 | Jacob Chernichky | Chiropractor | 1585 Roanoke Rd, Daleville, VA 24083-2914 | 2020-10-08 |
| 1740887421 | Robyn Victoria Kirby | Chiropractor | 1762 Tyler Rd, Christiansburg, VA 24073-6154 | 2020-10-05 |
| 1053928820 | Movement Methods Chiropractic | Chiropractor | 1276 N Wayne St Apt 617, Arlington, VA 22201-5852 | 2020-09-25 |
| 1265047393 | The Adjustment, Pllc | Chiropractor | 10130 Colvin Run Rd Ste C, Great Falls, VA 22066-1839 | 2020-09-15 |
| 1548874043 | Anam Malik | Chiropractor | 610 Truman Cir Sw, Vienna, VA 22180-6422 | 2020-09-02 |
| 1861006322 | Amato Chiropractic and Rehabilitation Clinic Waynesboro PC | Chiropractor | 2556 Jefferson Hwy Ste 104, Waynesboro, VA 22980-6555 | 2020-09-02 |
| 1114539038 | Jamie Paquette | Chiropractor | 4808 Courthouse St Ste 202, Williamsburg, VA 23188-2684 | 2020-08-21 |
| 1386254084 | Jamie L Sullivan | Chiropractor | 4532 Bonney Rd Ste D, Virginia Beach, VA 23462-3870 | 2020-08-06 |
| 1427674233 | Merrifield Family Chiropractic LLC | Chiropractor | 2750 Prosperity Ave Ste 120, Fairfax, VA 22031-4336 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
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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.