Caprehab Ashburn, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556089 Issued in VA

Legal business name

CAPREHAB ASHBURN, LLC

Practice address

42882 Truro Parish Dr
Unit 207
Broadlands, VA 20148-4456

Phone

(703) 726-9866

Fax

(703) 726-9868

NPI assigned

Nov 20, 2006

Last updated

Aug 31, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Luke Charles Pietrantone, DCNPI 1205908167

Title

Owner

Phone

(703) 726-9866

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Capitol Rehab of Ashburn Former legal business name

Locations

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.

• Luke Charles Pietrantone, DC

  • Chiropractor
  • Broadlands, VA
  • NPI 1205908167
  NPD (past) Authorized official
• Susan Waldo, PT

  • Physical Therapist
  • Ashburn, VA
  • NPI 1477627636
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1366516528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42882 TRURO PARISH DR",
            "address_2": "UNIT 207",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484456",
            "telephone_number": "703-726-9866",
            "fax_number": "703-726-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42882 TRURO PARISH DR",
            "address_2": "UNIT 207",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484456",
            "telephone_number": "703-726-9866",
            "fax_number": "703-726-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPREHAB ASHBURN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "PIETRANTONE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-726-9866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556089",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0104556089",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Rehab of Ashburn",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Natalie Burns
• Shawna Bush
• Tammy Kim Butler
• Leslie Cajas Laynez
• Andrew T Calhoun
• Maryke Caputo
• Diamond Carr, PHD, NCSP
• Caitlin Cells
• Jessica Cerovich, MS, CCC-SLP
• Certitest Mobile Compliance

• Chiropractor in Broadlands, VA
• Providers in Broadlands, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.