Fitzgerald Spine and Sports Care PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FITZGERALD SPINE AND SPORTS CARE PC

Practice address

8381 Old Courthouse Rd Ste 150
Tysons Corner, VA 22182-3830

Phone

(703) 760-8110

Fax

(703) 760-8111

NPI assigned

Feb 18, 2020

Last updated

May 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Fitzgerald, D.C.NPI 1346610144

Title

President

Phone

(703) 760-8110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Fitzgerald, D.C.

  • Chiropractor
  • Vienna, VA
  • NPI 1346610144
  Authorized official Same address or phone

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1467085456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 OLD COURTHOUSE RD",
            "city": "TYSONS CORNER",
            "state": "VA",
            "postal_code": "221823818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 OLD COURTHOUSE RD STE 150",
            "city": "TYSONS CORNER",
            "state": "VA",
            "postal_code": "221823830",
            "telephone_number": "703-760-8110",
            "fax_number": "703-760-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZGERALD SPINE AND SPORTS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-760-8110",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Tysons Corner, VA
• Providers in Tysons Corner, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.