NPIMap

Organization Active NPI

Sport & Spine of Rehab McLean PLLC

  • Chiropractor
  • McLean, VA
National Provider Identifier
1497967251
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPORT & SPINE OF REHAB MCLEAN PLLC
Practice address
6845 Elm St
Ste 425
MC Lean, VA 22101-6007
Phone
(703) 448-5799
Fax
(240) 766-0304
NPI assigned
May 4, 2007
Last updated
May 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Dr. Jay S Greenstein, DCNPI 1154392694
Title
Ceo
Phone
(240) 766-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

6845 Elm St
Ste 425
MC Lean, VA 22101-6007

Mailing address

9300 Livingston Rd
Ste 100
Ft Washington, MD 20744-4914
Phone (240) 766-0300

National Provider Directory

National Provider Directory

Locations

9300 Livingston Rd
Ste 100
Ft Washington, MD 20744
Phone (240) 766-0300

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1497967251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 LIVINGSTON RD",
            "address_2": "STE 100",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444914",
            "telephone_number": "240-766-0300",
            "fax_number": "240-766-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "STE 425",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-448-5799",
            "fax_number": "240-766-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE OF REHAB MCLEAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-766-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.