Active NPI
Ward Chiropractic and Rehabilitation
- Rehabilitation Chiropractor
- Fairfax, VA
National Provider Identifier
1134510704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 0104556919
- Legal business name
- WARD CHIROPRACTIC AND REHABILITATION
- Practice address
- 10515 Braddock Rd
Ste B
Fairfax, VA 22032-2236 - Phone
- (814) 571-0027
- NPI assigned
- Feb 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Ward
- Title
- Owner
- Phone
- (814) 571-0027
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 0104556919 | VA | Primary |
Addresses
Primary practice location
10515 Braddock Rd
Ste B
Fairfax, VA 22032-2236
Mailing address
10515 Braddock Rd
Ste B
Fairfax, VA 22032-2236
Phone (814) 571-0027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10515 Braddock Rd
Ste B
Fairfax, VA 22032
Phone (703) 672-1661
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": "1424217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424217600000",
"number": "1134510704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10515 BRADDOCK RD",
"address_2": "STE B",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220322236",
"telephone_number": "814-571-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10515 BRADDOCK RD",
"address_2": "STE B",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220322236",
"telephone_number": "814-571-0027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARD CHIROPRACTIC AND REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-18",
"last_updated": "2015-02-18",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-571-0027"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "VA",
"license": "0104556919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.