Organization Active NPI

Signature Rehab Services, LLC

  • Physical Therapist
  • Annandale, VA
National Provider Identifier
1245470657
Registry record updated Apr 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SIGNATURE REHAB SERVICES, LLC
Practice address
5101C Backlick Rd
Suite 1
Annandale, VA 22003-6061
Phone
(703) 225-9477
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2017

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

Authorized official

Name
Dr. Akram Elzend, PT, DPT
Title
President
Phone
(703) 225-9477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5101C Backlick Rd
Suite 1
Annandale, VA 22003-6061

Mailing address

5101C Backlick Rd
Suite 1
Annandale, VA 22003-6061
Phone (703) 225-9477

Other identifiers 1

IdentifierTypeStateIssuer
1245470657MedicaidVA

National Provider Directory

National Provider Directory

Locations

6066 Leesburg Pike
Ste 630A
Falls Church, VA 22041
Phone (703) 225-9477

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493510400000",
    "number": "1245470657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101C BACKLICK RD",
            "address_2": "SUITE 1",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036061",
            "telephone_number": "703-225-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101C BACKLICK RD",
            "address_2": "SUITE 1",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036061",
            "telephone_number": "703-225-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2017-04-30",
        "status": "A",
        "authorized_official_last_name": "ELZEND",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-225-9477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245470657",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

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