NPIMap

Organization Active NPI

Dynamic Rehab & Spine

  • Rehabilitation Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1265820484
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0104557195 Issued in VA
Legal business name
DYNAMIC REHAB & SPINE
Practice address
2380 Plank Rd
Fredericksburg, VA 22401-4927
Phone
(540) 373-1303
Fax
(540) 373-6061
NPI assigned
Dec 23, 2014
Last updated
Dec 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Dr. Burgandi Collins, DCNPI 1316394919
Title
Chiropractor
Phone
(757) 927-9851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 0104557195 VA Primary

Addresses

Primary practice location

2380 Plank Rd
Fredericksburg, VA 22401-4927

Mailing address

2380 Plank Rd
Fredericksburg, VA 22401-4927
Phone (540) 373-1303

National Provider Directory

National Provider Directory

Locations

2380 Plank Rd
Fredericksburg, VA 22401
Phone (540) 373-1303

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1265820484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014927",
            "telephone_number": "540-373-1303",
            "fax_number": "540-373-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014927",
            "telephone_number": "540-373-1303",
            "fax_number": "540-373-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB & SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "BURGANDI",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "757-927-9851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104557195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.