SPINE AND SPORT REHAB CENTER INC (NPI# 1841489531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841489531 |
| Entity Type | Organization |
| Organization Name | SPINE AND SPORT REHAB CENTER INC |
| Practice Address |
4656d King St Alexandria VA 22302-1215 |
| Practice Telephone | 7039980600 |
| Practice Fax Number | 7039980333 |
| Mailing Telephone | 7039980600 |
| Mailing Fax Number | 7039980333 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | DR. NATHAN LE (PRESIDENT) |
| Authorized Official Telephone | 7039980600 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 0104556081 | VA | Hospital Units |
| Street Address |
4656D KING ST |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22302-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708288 | Jessica Frances Porzel | Nurse Practitioner | 4700 King St # 100, Alexandria, VA 22302 | 2018-11-07 |
| 1649696584 | Tiffany Edwards | General Acute Care Hospital | 3430 Larchmont Avenue Apt 541, Alexandria, VA 22302 | 2014-03-17 |
| 1396051744 | Cyndi Chan Lam | Pharmacist | 3614 King Street, Alexandria, VA 22302 | 2010-08-24 |
| 1871746206 | Carol Anne Burgess | Nurse Anesthetist, Certified Registered | 4216 King St, Alexandria, VA 22302 | 2008-10-29 |
| 1497907711 | Stephen Xavier Giunta | Plastic Surgery | 4216 King Street, King Street West Office Park, Alexandria, VA 22302 | 2008-10-17 |
| 1386892800 | Dr. Catherine P. Nguyen P.C. | Dentist | 5142 Leesburg Pike, Alexandria, VA 22302 | 2008-09-09 |
| 1013172972 | Dr. Tarek Ashmawy Dds | Clinic/Center | 5136 Leesburg Pike, Chantilly, VA 22302 | 2008-07-21 |
| 1346363769 | Robert Bregman | Pediatrics | 4480 King St., Alex Health Dept, Alexandria, VA 22302 | 2007-04-09 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1205917200 | Roma White Farge | Social Worker | 2202 Minor Street, Alexandria, VA 22302 | 2006-10-17 |
| Find all providers in zip 22302 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013048990 | Inova Health Care Services | Rehabilitation Unit | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2007-03-09 |
| 1992775449 | Christus Health Central Louisiana | Rehabilitation Unit | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134510936 | Rehab Management Inc | Rehabilitation Unit | 474 Backmeadows Ln, Marion, VA 24354-6475 | 2015-02-15 |
| 1457681124 | School-based Therapy and Resources, LLC | Rehabilitation Unit | 924 Langdale Ct, Culpeper, VA 22701-2075 | 2010-01-02 |
| 1376796904 | Joyce A. Bolling | Rehabilitation Unit | 1315 Hopkins Rd, Richmond, VA 23224-6509 | 2008-10-28 |
| 1538650999 | Reston Hospital Center, LLC | Rehabilitation Unit | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-05-22 |
| 1104207877 | Mcdonald Army Health Care Center | Rehabilitation Unit | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-06-17 |
| 1093110702 | Kimberly Lephart | Rehabilitation Unit | 924 Langdale Ct, Culpeper, VA 22701-2075 | 2014-10-24 |
| 1164835807 | Acupuncture & Herbs Clinic | Rehabilitation Unit | 7535 Little River Tpke Ste 103a, Annandale, VA 22003-2983 | 2014-06-10 |
| 1134448541 | Smyth County Community Hospital | Rehabilitation Unit | 245 Medical Park Dr, Marion, VA 24354-1100 | 2010-05-25 |
| 1467690891 | Sentara Hospitals | Rehabilitation Unit | 100 Sentara Cir, Williamsburg, VA 23188-5713 | 2009-01-22 |
| 1467699199 | Sentara Hospitals | Rehabilitation Unit | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2009-01-16 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22302 |
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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.