Lighthouse Chiropractic and Rehab

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104555956 Issued in VA

Legal business name

LIGHTHOUSE CHIROPRACTIC AND REHAB

Doing business as

Ashburn Sport and Spine

Practice address

42882 Truro Parish Dr Ste 207
Broadlands, VA 20148-4458

Phone

(703) 723-6614

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Matthew Dowell, D.C.

Title

Head Doctor and Owner

Phone

(703) 723-6614

Specialties & licenses 1

Addresses

Other names 1

• Ashburn Sport and Spine Doing business as

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467579938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42882 TRURO PARISH DR STE 207",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484458",
            "telephone_number": "703-723-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42882 TRURO PARISH DR STE 207",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484458",
            "telephone_number": "703-723-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE CHIROPRACTIC AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOWELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "HEAD DOCTOR AND OWNER",
        "authorized_official_telephone_number": "703-723-6614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104555956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashburn Sport and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irene Lee
• Mary Leidy
• Andrew Levy
• Bryan Lichtenauer, DC
• Theresa Ann Lichtman, PH.D.
• James Lilly
• Pamela Mara Lindo
• April Lisbon-Peoples
• Wei Lo
• Monika Loomba, MS.,CCC/SLP

• Sports Physician Chiropractor in Broadlands, VA
• Providers in Broadlands, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.