Organization Active NPI

Health and Rehab Chiropractic, LLC

  • Chiropractor
  • Centreville, VA
National Provider Identifier
1417491184
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556840 Issued in VA
Legal business name
HEALTH AND REHAB CHIROPRACTIC, LLC
Practice address
5675 Stone Rd
Suite 220
Centreville, VA 20120-1667
Phone
(703) 815-0700
NPI assigned
Dec 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Brandon Anthony Czekaj, DCNPI 1235461062
Title
Owner
Phone
(703) 877-0787

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556840 VA Primary

Addresses

Primary practice location

5675 Stone Rd
Suite 220
Centreville, VA 20120-1667

Mailing address

5675 Stone Rd Ste 220a
Centreville, VA 20120-1667
Phone (703) 877-0787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200211002591 DC Part B Supplier - Clinic/Group Practice 4587090584 Receives reassigned benefits from 1 practitioner
Practice locations: Centreville, VA

National Provider Directory

National Provider Directory

Locations

5675 Stone Rd
Ste 220
Centreville, VA 20120
Phone (703) 282-1192

5675 Stone Rd
Ste 220A
Centreville, VA 20120
Phone (703) 877-0787

Practitioners & affiliated clinicians

Practitioners 4

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": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1417491184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 STONE RD STE 220A",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201667",
            "telephone_number": "703-877-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 STONE RD",
            "address_2": "SUITE 220",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201667",
            "telephone_number": "703-815-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND REHAB CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2023-09-06",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "CZEKAJ",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-877-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.