Elemental Wellness and Spine PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ELEMENTAL WELLNESS AND SPINE PC

Practice address

21430 Cedar Dr Ste 226
Sterling, VA 20164-8697

Phone

(703) 444-3870

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tony KnappNPI 1942237904

Title

Owner

Phone

(401) 743-1528

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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

• Charmaine Tuck, FNP

  • Family Nurse Practitioner
  • Sterling, VA
  • NPI 1265096127

  Single Specialty

  Medicare reassignment NPD
• Silvia Yuen, FNP-C

  • Family Nurse Practitioner
  • Fairfax, VA
  • NPI 1457051997
  Medicare reassignment NPD
• Tony A Knapp, D.C.

  • Chiropractor
  • Sterling, VA
  • NPI 1942237904
  NPD Authorized official

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1235975756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21430 CEDAR DR STE 226",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201648697",
            "telephone_number": "703-444-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21430 CEDAR DR STE 226",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201648697",
            "telephone_number": "703-444-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL WELLNESS AND SPINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-743-1528",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eatwellguru LLC
• Mina Ekdawi
• Mohamed Elashaal
• Dalia Mohamed Elashker, PT
• Tarek Elbadawy, DDS
• Angela Elgin
• Nahed Elias, PHARMD
• Elisa/Act Biotechnologies
• Elisa/Act Biotechnologies LLC
• Kehinde Hassanat Elisha, DNP, PMHNP-BC, APRN

• Multi-Specialty Clinic/Center in Sterling, VA
• Providers in Sterling, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.