Organization Active NPI

Total Rehab Anf Fitness Center

  • Exclusive Provider Organization
  • Fredericksburg, VA
National Provider Identifier
1003195884
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
1012540 Issued in VA
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

Updated by the provider on Aug 10, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
579422693AOtherVAMEDICARE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.