Nova Integrative Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305206813 Issued in VA

Legal business name

NOVA INTEGRATIVE PHYSICAL THERAPY

Practice address

2003 Barkham LN
Vienna, VA 22182-5002

Phone

(732) 687-3497

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Lauren Starace

Title

Owner/Physical Therapist

Phone

(732) 687-3497

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1124553664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 BARKHAM LN",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825002",
            "telephone_number": "732-687-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 BARKHAM LN",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825002",
            "telephone_number": "732-687-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA INTEGRATIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "STARACE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-687-3497"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305206813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Virginia Foot and Ankle Associates
• Northern Virginia Pain Management Associates, LLC
• Northern Virginia Radiology and Nuclear Medicine,Inc
• Ruth Norwood, COTA/L
• Nova Center for Dental Sleep Treatment PLLC
• Nova Medical Transportation LLC
• Nova MJ Health PLLC
• Nova Neuroscience
• Nova Nutrition and Diet RX LLC
• Nova Othopeadics & Sports Medicine Center, P.C.

• Physical Therapy Clinic/Center in Vienna, VA
• Providers in Vienna, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.