COMPLETE SPINAL CARE & REHAB, LLC (NPI# 1730635079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730635079 |
| Entity Type | Organization |
| Organization Name | COMPLETE SPINAL CARE & REHAB, LLC |
| Practice Address |
12662 Darby Brook Court Woodbridge VA 22192 |
| Practice Telephone | 5713986343 |
| Mailing Telephone | 5713986343 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Authorized Official Name | MONYA TAVAKOLI (CHIROPRACTOR) |
| Authorized Official Telephone | 5713986343 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104557229 | VA | Chiropractic Providers |
| Street Address |
12662 DARBY BROOK COURT |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| 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 |
|---|---|---|---|---|
| 1265095418 | Arshia Nozari | Chiropractor | 14904 Jefferson Davis Hwy Ste 301, Woodbridge, VA 22191-3908 | 2019-04-15 |
| 1699217026 | Drrlhardy | Chiropractor | 15200 Leicestershire St Unit 234, Woodbridge, VA 22191-5924 | 2016-11-16 |
| 1578929345 | Sandra Nicole Mcgourty | Chiropractor | 14130 Noblewood Plz Ste 204, Woodbridge, VA 22193-1466 | 2016-01-11 |
| 1336524966 | Roshaun Hardy | Chiropractor | 13662 Office Pl Ste 103, Woodbridge, VA 22192-4217 | 2015-07-24 |
| 1891101952 | Laura Reid | Chiropractor | 3955 Prince Williams Parkway, Woodbridge, VA 22192-0000 | 2014-07-09 |
| 1518387661 | Andolina Chiropractic & Rehab | Chiropractor | 1455 Old Bridge Rd Ste 202, Woodbridge, VA 22192-2727 | 2014-04-16 |
| 1629360904 | Woodbridge Chiropractic & Pain Management | Chiropractor | 3945 Prince William Pkwy, Woodbridge, VA 22192-5010 | 2011-05-05 |
| 1043532732 | Angela Corinne Darling | Chiropractor | 12650 Lake Ridge Dr, Ste B, Woodbridge, VA 22192-2394 | 2010-02-22 |
| 1942462361 | Bilgin Kerisli | Chiropractor | 1000 Us Highway 9 N Ste 202, Woodbridge, NJ 07095-1200 | 2008-06-26 |
| 1740449875 | Katey Hauser | Chiropractor | 260 Amity Rd, Woodbridge, CT 06525-2222 | 2008-06-04 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on COMPLETE SPINAL CARE & REHAB, LLC.
| 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.