NPIMap

Organization Active NPI

Optimal Chiro-Rehab Center LLC

  • Rehabilitation Chiropractor
  • Fairfax, VA
National Provider Identifier
1376799700
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
010455628 Issued in VA
Legal business name
OPTIMAL CHIRO-REHAB CENTER LLC
Practice address
8303 Arlington Blvd
Ste 202
Fairfax, VA 22031-2903
Phone
(703) 573-4773
Fax
(703) 573-2552
NPI assigned
Aug 18, 2008
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Dr. Nguyen Thien TranNPI 1255450482
Title
Doctor
Phone
(703) 573-4773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 010455628 VA Primary

Addresses

Primary practice location

8303 Arlington Blvd
Ste 202
Fairfax, VA 22031-2903

Mailing address

8303 Arlington Blvd
Ste 202
Fairfax, VA 22031-2903
Phone (703) 573-4773

National Provider Directory

National Provider Directory

Locations

8303 Arlington Blvd
Ste 202
Fairfax, VA 22031
Phone (703) 573-4773

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1376799700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD",
            "address_2": "STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-573-4773",
            "fax_number": "703-573-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD",
            "address_2": "STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-573-4773",
            "fax_number": "703-573-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CHIRO-REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NGUYEN",
        "authorized_official_middle_name": "THIEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "703-573-4773",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "010455628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.