Potomac Family and Sports Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001404 Issued in VA

Legal business name

POTOMAC FAMILY AND SPORTS CHIROPRACTIC CENTER INC

Practice address

21351 Gentry Dr
Suite 125
Sterling, VA 20166-8510

Phone

(703) 406-8686

Fax

(703) 406-8688

NPI assigned

Nov 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alex McMinn, D.C.NPI 1134294192

Title

Owner and President

Phone

(703) 406-8686

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex McMinn, D.C.

  • Chiropractor
  • Sterling, VA
  • NPI 1134294192
  Medicare reassignment NPD Authorized official
• Patrick David Weston, DC

  • Chiropractor
  • Ashburn, VA
  • NPI 1942665435
  Medicare reassignment NPD
• Tim Scheuerman

  • Chiropractor
  • Ashburn, VA
  • NPI 1710928577
  NPD
• Karen S Benton, D.C.

  • Chiropractor
  • Sterling, VA
  • NPI 1467529339
  NPD (past)
• Diane Leslie Rapps, DC

  • Chiropractor
  • Sterling, VA
  • NPI 1104022805
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1043387376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21351 GENTRY DR",
            "address_2": "SUITE 125",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668510",
            "telephone_number": "703-406-8686",
            "fax_number": "703-406-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21351 GENTRY DR",
            "address_2": "SUITE 125",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668510",
            "telephone_number": "703-406-8686",
            "fax_number": "703-406-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC FAMILY AND SPORTS CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "MCMINN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "703-406-8686",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "629493",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "211692",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "4400165",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Poole
• Hannah Foster Portell
• Nichelle Traxler Porto, ATC
• Rosetta R Posey
• Potomac Falls Orthodontics
• Potomac Speech, LLC
• Potomac Wellness
• Potomacaba PLLC
• Mojgan Pourakbar
• Rachel Ann Powell

• Chiropractor in Sterling, VA
• Providers in Sterling, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.