Organization Active NPI

Ballston Pain and Rehab Center, PC

  • Rehabilitation Chiropractor
  • Arlington, VA
National Provider Identifier
1306142252
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0104555796 Issued in VA
Legal business name
BALLSTON PAIN AND REHAB CENTER, PC
Practice address
4238 Wilson Blvd
Third Floor, Suite 3018
Arlington, VA 22203-1823
Phone
(703) 558-0001
Fax
(703) 558-3636
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Erik Ward, D.C.
Title
Owner
Phone
(703) 558-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 0104555796 VA Primary

Addresses

Primary practice location

4238 Wilson Blvd
Third Floor, Suite 3018
Arlington, VA 22203-1823

Mailing address

4238 Wilson Blvd
Third Floor, Suite 3018
Arlington, VA 22203-1823
Phone (703) 558-0001

Other names 1

  • Nova Pain and Rehab Center Doing business as

National Provider Directory

National Provider Directory

Locations

4238 Wilson Blvd
Ste 3018
Arlington, VA 22203
Phone (703) 558-0001

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1306142252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 WILSON BLVD",
            "address_2": "THIRD FLOOR, SUITE 3018",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031823",
            "telephone_number": "703-558-0001",
            "fax_number": "703-558-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 WILSON BLVD",
            "address_2": "THIRD FLOOR, SUITE 3018",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031823",
            "telephone_number": "703-558-0001",
            "fax_number": "703-558-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLSTON PAIN AND REHAB CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-558-0007",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104555796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Pain and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.