NPIMap

Organization Active NPI

Evolve Rehabilitation & Wellness, LLC

  • Health Maintenance Organization
  • Falls Church, VA
National Provider Identifier
1417296427
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
0104557003 Issued in VA
Legal business name
EVOLVE REHABILITATION & WELLNESS, LLC
Practice address
2735 Hartland Rd
Suite 100
Falls Church, VA 22043-3542
Phone
(202) 440-2939
NPI assigned
Feb 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Dr. Ali PajouheshNPI 1922347921
Title
Chiropractor
Phone
(202) 440-2939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 0104557003 VA Primary

Addresses

Primary practice location

2735 Hartland Rd
Suite 100
Falls Church, VA 22043-3542

Mailing address

4173 Vernoy Hills Rd
Fairfax, VA 22033-4395
Phone (202) 440-2939

National Provider Directory

National Provider Directory

Locations

2735 Hartland Rd
Ste 100
Falls Church, VA 22043
Phone (202) 440-2939

Practitioners & affiliated clinicians

Practitioners 1

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": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1417296427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173 VERNOY HILLS RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334395",
            "telephone_number": "202-440-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 HARTLAND RD",
            "address_2": "SUITE 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433542",
            "telephone_number": "202-440-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE REHABILITATION & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "PAJOUHESH",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "202-440-2939",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0104557003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.