NPIMap

Organization Active NPI

Virginia Pain & Rehab, LLC

  • Sports Medicine (Internal Medicine) Physician
  • Arlington, VA
National Provider Identifier
1487948980
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
VIRGINIA PAIN & REHAB, LLC
Practice address
5130 Wilson Blvd
2ND Floor
Arlington, VA 22205-1169
Phone
(703) 247-9799
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Kim Ryan
Title
Owner
Phone
(405) 926-7926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0010X Primary

Addresses

Primary practice location

5130 Wilson Blvd
2ND Floor
Arlington, VA 22205-1169

Mailing address

5130 Wilson Blvd
2ND Floor
Arlington, VA 22205-1169

National Provider Directory

National Provider Directory

Locations

5130 Wilson Blvd
Fl 2
Arlington, VA 22205
Phone (703) 247-9799

Practitioners & affiliated clinicians

Practitioners 3

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": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1487948980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 WILSON BLVD",
            "address_2": "2ND FLOOR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 WILSON BLVD",
            "address_2": "2ND FLOOR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051169",
            "telephone_number": "703-247-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PAIN & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-926-7926"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.