Organization Active NPI

Rosavan Alexandria LLC

  • General Practice Physician
  • Alexandria, VA
National Provider Identifier
1073280327
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROSAVAN ALEXANDRIA LLC
Doing business as
Federal Injury Centers of Alexandria
Practice address
5249 Duke St Ste 301
Alexandria, VA 22304-2907
Phone
(240) 863-2822
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Ricky Rosa, DC
Title
Owner
Phone
(240) 863-2822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5249 Duke St Ste 301
Alexandria, VA 22304-2907

Mailing address

4703 Cherokee St
College Park, MD 20740-1816
Phone (301) 455-1348

Other names 1

  • Federal Injury Centers of Alexandria Doing business as

National Provider Directory

National Provider Directory

Locations

5249 Duke St
Ste 301
Alexandria, VA 22304
Phone (240) 863-2822

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1073280327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 CHEROKEE ST",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401816",
            "telephone_number": "301-455-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042907",
            "telephone_number": "240-863-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSAVAN ALEXANDRIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-863-2822",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federal Injury Centers of Alexandria",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Federal Injury Centers of Alexandria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.