Active NPI
Rehabilitation Equipment Professionals
- Customized Equipment (DME)
- Alexandria, VA
National Provider Identifier
1396713525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 1590501
- Legal business name
- REHABILITATION EQUIPMENT PROFESSIONALS
- Doing business as
- REP INC
- Practice address
- 5130 Duke St
Suite 12
Alexandria, VA 22304-2924 - Phone
- (703) 370-2100
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shad Lofgreen
- Title
- Coo
- Phone
- (703) 370-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 1590501 | VA | Primary |
Addresses
Primary practice location
5130 Duke St
Suite 12
Alexandria, VA 22304-2924
Mailing address
5130 Duke St
Suite 12
Alexandria, VA 22304-2924
Phone (703) 370-2100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025159700 | Medicaid | DC | |
| 009135570 | Medicaid | VA | |
| 627888400 | Medicaid | MD | |
| ME66 | Other | MD | CAREFIRST BCBS |
Other names 1
- REP INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930087220 | VA | DME Supplier - Medical Supply Company | 2567589476 | Practice locations: Alexandria, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rehabilitation Equipment Profession | Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Access… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
5130 Duke St
Ste 12
Alexandria, VA 22304
Phone (703) 370-2100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716163200000",
"number": "1396713525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 DUKE ST",
"address_2": "SUITE 12",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042924",
"telephone_number": "703-370-2100",
"fax_number": "703-370-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 DUKE ST",
"address_2": "SUITE 12",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042924",
"telephone_number": "703-370-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATION EQUIPMENT PROFESSIONALS",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A",
"authorized_official_last_name": "LOFGREEN",
"authorized_official_first_name": "SHAD",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "703-370-2100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "VA",
"license": "1590501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025159700",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009135570",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "627888400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "ME66",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "REP INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.