Active NPI
Total Rehab Anf Fitness Center
- Exclusive Provider Organization
- Fredericksburg, VA
National Provider Identifier
1003195884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 1012540
- Legal business name
- TOTAL REHAB ANF FITNESS CENTER
- Practice address
- 10007 Jefferson Davis Hwy
127
Fredericksburg, VA 22407-9428 - Phone
- (540) 891-4224
- Fax
- (540) 891-4452
- NPI assigned
- Aug 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dante Tyler, P.T
- Title
- MGR Owner
- Phone
- (540) 891-4224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 1012540 | VA | Primary |
Addresses
Primary practice location
10007 Jefferson Davis Hwy
127
Fredericksburg, VA 22407-9428
Mailing address
10007 Jefferson Davis Hwy
Fredericksburg, VA 22407-9428
Phone (540) 891-4224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 579422693A | Other | VA | MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312934400000",
"number": "1003195884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10007 JEFFERSON DAVIS HWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224079428",
"telephone_number": "540-891-4224",
"fax_number": "540-891-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10007 JEFFERSON DAVIS HWY",
"address_2": "127",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224079428",
"telephone_number": "540-891-4224",
"fax_number": "540-891-4452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL REHAB ANF FITNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A",
"authorized_official_last_name": "TYLER",
"authorized_official_first_name": "DANTE",
"authorized_official_title_or_position": "MGR OWNER",
"authorized_official_telephone_number": "540-891-4224",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "VA",
"license": "1012540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "579422693A",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.