VA Total Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557310 Issued in VA

Legal business name

VA TOTAL REHAB, LLC

Practice address

1760 Reston Pkwy Ste 310
Reston, VA 20190-3359

Phone

(703) 471-4600

Fax

(703) 997-7488

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Lloyd C Holmes Jr., DC

Title

Doctor

Phone

(703) 471-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1063998417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY STE 310",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903359",
            "telephone_number": "703-471-4600",
            "fax_number": "703-997-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY STE 310",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903359",
            "telephone_number": "703-471-4600",
            "fax_number": "703-997-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA TOTAL REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "703-471-4600",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.