Family and Sport Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557359 Issued in VA

Legal business name

FAMILY AND SPORT CHIROPRACTIC

Practice address

300 N Washington St
Suite #103
Falls Church, VA 22046-4426

Phone

(703) 560-4730

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Thomas WetzenNPI 1679652424

Title

Owner/Chiropactor

Phone

(703) 560-4730

Specialties & licenses 1

Addresses

Tax ID family

Family and Sport Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family and Sports Chiropractic ,Inc.

  • Chiropractor
  • Falls Church, VA
  • NPI 1194804955
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas John Wetzen, D.C.

  • Chiropractor
  • Falls Church, VA
  • NPI 1679652424
  NPD (past) Authorized official
• Yasaman Khan-Shaghaghi, D.C.

  • Chiropractor
  • Falls Church, VA
  • NPI 1669899258
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1477009108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MERRILEE DRIVE,",
            "address_2": "UNIT 421",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220318142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST",
            "address_2": "SUITE #103",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464426",
            "telephone_number": "703-560-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND SPORT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "WETZEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/CHIROPACTOR",
        "authorized_official_telephone_number": "703-560-4730"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falls Church Therapy Associates
• Falls Church Wellness Center
• Abiodun Olatunde Falowo
• Mohammad Ali Falsafi
• Linda Domenica Fama, PHD
• Family and Sports Chiropractic ,Inc.
• Family Center Counseling
• Family Home Care Agency
• Family Home Care Provider LLC
• Family Home Health Care Inc

• Chiropractor in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.