Organization Active NPI

Kamper Chiropractic & Rehabilitation Inc

  • Rehabilitation Chiropractor
  • Woodbridge, VA
National Provider Identifier
1174739809
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0104555702 Issued in VA
Legal business name
KAMPER CHIROPRACTIC & REHABILITATION INC
Practice address
2846 Garber Way
Woodbridge, VA 22192
Phone
(703) 878-0700
Fax
(703) 878-1388
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Casey Holm
Title
Cfo
Phone
(713) 829-7506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 0104555702 VA Primary

Addresses

Primary practice location

2846 Garber Way
Woodbridge, VA 22192

Mailing address

2846 Garber Way
Woodbridge, VA 22192
Phone (703) 878-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613001643 VA Part B Supplier - Clinic/Group Practice 7012374663 Receives reassigned benefits from 2 practitioners
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

13662 Office Pl
Ste 103
Woodbridge, VA 22192
Phone (703) 878-0700

2846 Garber Way
Woodbridge, VA 22192
Phone (703) 878-0700

Practitioners & affiliated clinicians

Practitioners 6

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1174739809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 GARBER WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-878-0700",
            "fax_number": "703-878-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 GARBER WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-878-0700",
            "fax_number": "703-878-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMPER CHIROPRACTIC & REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-829-7506"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104555702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.