Organization Active NPI

Nova Spine & Rehab Center Inc.

  • Chiropractor
  • Falls Church, VA
National Provider Identifier
1265903751
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NOVA SPINE & REHAB CENTER INC.
Practice address
803 W Broad St Ste 240a
Falls Church, VA 22046-3108
Phone
(703) 606-2013
Fax
(703) 237-2839
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Michael Armellino, DCNPI 1427438407
Title
Owner
Phone
(410) 739-5850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

803 W Broad St Ste 240a
Falls Church, VA 22046-3108

Mailing address

5811 Hampton Forest Way
Fairfax, VA 22030-7254
Phone (410) 739-5850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190222002054 DC Part B Supplier - Clinic/Group Practice 8729327598 Receives reassigned benefits from 1 practitioner
Practice locations: Falls Church, VA

National Provider Directory

National Provider Directory

Locations

3541 Chain Bridge Rd
Ste 5B
Fairfax, VA 22030
Phone (703) 606-2013

803 W Broad St
Ste 240A
Falls Church, VA 22046
Phone (703) 606-2013

Practitioners & affiliated clinicians

Practitioners 1

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": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1265903751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 HAMPTON FOREST WAY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307254",
            "telephone_number": "410-739-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W BROAD ST STE 240A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463108",
            "telephone_number": "703-606-2013",
            "fax_number": "703-237-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SPINE & REHAB CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "ARMELLINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-739-5850",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.