NPIMap

Organization Active NPI

Dynamic Rehab and Spine Chantilly

Doing business as Dynamic Rehab & Spine Chantilly, LLC

  • Sports Physician Chiropractor
  • Chantilly, VA
National Provider Identifier
1407223662
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
DYNAMIC REHAB AND SPINE CHANTILLY
Doing business as
Dynamic Rehab & Spine Chantilly, LLC
Practice address
14290 Sullyfield Cir
Suite 100
Chantilly, VA 20151-4000
Phone
(703) 378-0908
Fax
(703) 378-0208
NPI assigned
Aug 24, 2015
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Dr. Stephen M Erle, DC
Title
Owner
Phone
(703) 378-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X VA Primary

Addresses

Primary practice location

14290 Sullyfield Cir
Suite 100
Chantilly, VA 20151-4000

Mailing address

14290 Sullyfield Cir
Suite 100
Chantilly, VA 20151-4000
Phone (703) 378-0908

Other names 1

  • Dynamic Rehab & Spine Chantilly, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1407223662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14290 SULLYFIELD CIR",
            "address_2": "SUITE 100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514000",
            "telephone_number": "703-378-0908",
            "fax_number": "703-378-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14290 SULLYFIELD CIR",
            "address_2": "SUITE 100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514000",
            "telephone_number": "703-378-0908",
            "fax_number": "703-378-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB AND SPINE CHANTILLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "ERLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-378-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Rehab & Spine Chantilly, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.