NPIMap

Organization Active NPI

Chiro Physical Medicine LLC

  • Acupuncturist
  • Arlington, VA
National Provider Identifier
1376957712
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
CHIRO PHYSICAL MEDICINE LLC
Practice address
3801 Fairfax Dr Ste 12
Arlington, VA 22203-1762
Phone
(570) 350-7939
Fax
(570) 291-5012
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Kari Delikat
Title
Billing Agency
Phone
(570) 350-7939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

3801 Fairfax Dr Ste 12
Arlington, VA 22203-1762

Mailing address

3801 Fairfax Dr Ste 12
Arlington, VA 22203-1762
Phone (570) 350-7939

Other names 1

  • Ballston Chiropractic & Accupuncture Other name

National Provider Directory

National Provider Directory
Tax ID family
Ballston Chiropractic Accupuncture2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1376957712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 FAIRFAX DR STE 12",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031762",
            "telephone_number": "570-350-7939",
            "fax_number": "570-291-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 FAIRFAX DR STE 12",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031762",
            "telephone_number": "570-350-7939",
            "fax_number": "570-291-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "DELIKAT",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "BILLING AGENCY",
        "authorized_official_telephone_number": "570-350-7939"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballston Chiropractic & Accupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 13, 2014; 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.