Virginia Pain & Rehabilitation Center, PLLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

0101233304 Issued in VA

Legal business name

VIRGINIA PAIN & REHABILITATION CENTER, PLLC

Practice address

6620 Keene Dr
Springfield, VA 22152-2508

Phone

(703) 598-5910

Fax

(703) 639-0738

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phuong Xuan Mai, MDNPI 1265439343

Title

President

Phone

(703) 598-5910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Practitioners 1

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

• Phuong Xuan Mai, MD

  • Physical Medicine & Rehabilitation Physician
  • Springfield, VA
  • NPI 1265439343

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1154511624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 KEENE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522508",
            "telephone_number": "703-598-5910",
            "fax_number": "703-639-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 KEENE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522508",
            "telephone_number": "703-598-5910",
            "fax_number": "703-639-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PAIN & REHABILITATION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "XUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-598-5910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "VA",
            "license": "0101233304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Internal Medicine Inc
• Virginia Medical Acute Care PC
• Virginia Medical Alliance PC
• Virginia Medical Associates PLLC
• Virginia Neuro Care
• Virginia Pediatric & Adolescent Center
• Virginia PHS LLC
• Visual Health Doctors of Optometry
• Vivid Smiles
• Thao Vo, PHARMD

• Rehabilitation Clinic/Center in Springfield, VA
• Providers in Springfield, VA by specialty
• Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.

Verify at the official NPI Registry.