NPIMap

Organization Active NPI

Capitol Rehab of Herndon

  • Chiropractor
  • Herndon, VA
National Provider Identifier
1376585075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556092 Issued in VA
Legal business name
CAPITOL REHAB OF HERNDON
Practice address
490 Elden St
Herndon, VA 20170-4513
Phone
(703) 787-3850
Fax
(703) 787-3851
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michelle Lea Pietrantone, DCNPI 1386698017
Title
Chiropractor and Owner
Phone
(703) 787-3850

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 SINGLE SPECIALTY GROUP 111N00000X 0104556092 VA Primary

Addresses

Primary practice location

490 Elden St
Herndon, VA 20170-4513

Mailing address

490 Elden St
Herndon, VA 20170-4513
Phone (703) 787-3850

National Provider Directory

National Provider Directory

Locations

490 Elden St
Herndon, VA 20170
Phone (703) 787-3850

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376585075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704513",
            "telephone_number": "703-787-3850",
            "fax_number": "703-787-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704513",
            "telephone_number": "703-787-3850",
            "fax_number": "703-787-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL REHAB OF HERNDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIETRANTONE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CHIROPRACTOR AND OWNER",
        "authorized_official_telephone_number": "703-787-3850",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.