Restore Health of VA LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RESTORE HEALTH OF VA LLC

Practice address

44121 Harry Byrd Hwy Ste 120
Ashburn, VA 20147-5668

Phone

(703) 777-1234

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Shandon Thompson, DCNPI 1225112857

Title

Owner

Phone

(703) 777-1234

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shandon Joseph Thompson, D.C.

  • Sports Physician Chiropractor
  • Ashburn, VA
  • NPI 1225112857
  NPD Authorized official

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1326653585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY STE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475668",
            "telephone_number": "703-777-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY STE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475668",
            "telephone_number": "703-777-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTH OF VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-777-1234",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary R Renard, MD
• Renee Haynesworth, MD (Haynesworth Pediatrics)
• Robyn Resh Davinic, PH.D.
• Reston Dental Group, PC (Fusion Dental - Ashburn)
• Reston Radiology Associates
• Restore PT & Wellness
• Danielle Cecilia Reyes
• Deborah Sue Rhodes, SLP
• Scott Ellsworth Rhodes
• Sherita L Rhodes, MA, NCC, LPC

• Multi-Specialty Clinic/Center in Ashburn, VA
• Providers in Ashburn, 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 Sep 14, 2020; 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.