Organization Active NPI

Rehabilitation Equipment Professionals

  • Customized Equipment (DME)
  • Alexandria, VA
National Provider Identifier
1396713525
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1590501 Issued in VA
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

Updated by the provider on May 20, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
025159700MedicaidDC
009135570MedicaidVA
627888400MedicaidMD
ME66OtherMDCAREFIRST BCBS

Other names 1

  • REP INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930087220 VA DME Supplier - Medical Supply Company 2567589476 Practice locations: Alexandria, VA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Rehabilitation Equipment Profession5130 Duke St, Alexandria, VA 22304-2955(703) 370-2100 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 assignmentParticipating since Jul 2, 2007

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.