Organization Active NPI

Oliver Pain Relief and Rehab

  • General Practice Physician
  • Herndon, VA
National Provider Identifier
1104535376
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OLIVER PAIN RELIEF AND REHAB
Practice address
1041 Sterling Rd Ste 106
Herndon, VA 20170-3841
Phone
(703) 904-8528
Fax
(703) 904-8529
NPI assigned
Nov 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Christopher Oliver, DCNPI 1083615074
Title
Owner
Phone
(703) 904-8528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1041 Sterling Rd Ste 106
Herndon, VA 20170-3841

Mailing address

1041 Sterling Rd Ste 106
Herndon, VA 20170-3841
Phone (703) 904-8528

Other practice location 1

201 N Maple Ave
Purcellville, VA 20132-6190
Phone (703) 405-3108

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1104535376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 STERLING RD STE 106",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703841",
            "telephone_number": "703-904-8528",
            "fax_number": "703-904-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 STERLING RD STE 106",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703841",
            "telephone_number": "703-904-8528",
            "fax_number": "703-904-8529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201326190",
            "country_code": "US",
            "telephone_number": "703-405-3108",
            "fax_number": "703-904-8529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVER PAIN RELIEF AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-904-8528",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.