Organization Active NPI

Integrated Sport, Spine & Rehab

Doing business as Kinetic Spine & Rehab

  • Rehabilitation Chiropractor
  • Rockville, MD
National Provider Identifier
1518270842
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
INTEGRATED SPORT, SPINE & REHAB
Doing business as
Kinetic Spine & Rehab
Practice address
9210 Corporate Blvd Ste 345
Rockville, MD 20850-6550
Phone
(240) 246-8880
Fax
(240) 246-8881
NPI assigned
Jul 15, 2010
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Bobbak Mozafari, DCNPI 1902121064
Title
Owner
Phone
(301) 246-8880

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
Physical Medicine & Rehabilitation Physician 208100000X NU
Rehabilitation Chiropractor 111NR0400X NU Primary

Addresses

Primary practice location

9210 Corporate Blvd Ste 345
Rockville, MD 20850-6550

Mailing address

9210 Corporate Blvd Ste 345
Rockville, MD 20850-6550
Phone (240) 246-8880

Other names 1

  • Kinetic Spine & Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240130001271 DC Part B Supplier - Clinic/Group Practice 3971956699 Receives reassigned benefits from 1 practitioner
Practice locations: Laytonsville, MD

National Provider Directory

National Provider Directory

Locations

6860 Olney Laytonsville Rd
Unit 3
Laytonsville, MD 20882
Phone (301) 570-7970

9210 Corporate Blvd
Ste 345
Rockville, MD 20850
Phone (240) 246-8880

91 Chesterfield Mall
Chesterfield, MO 63017
Phone (636) 346-1395

Practitioners & affiliated clinicians

Practitioners 3

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": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1518270842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 CORPORATE BLVD STE 345",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506550",
            "telephone_number": "240-246-8880",
            "fax_number": "240-246-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 CORPORATE BLVD STE 345",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506550",
            "telephone_number": "240-246-8880",
            "fax_number": "240-246-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SPORT, SPINE & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "MOZAFARI",
        "authorized_official_first_name": "BOBBAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-246-8880",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetic Spine & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.