Active NPI
Comet Healthcare Inc
- Physical Medicine & Rehabilitation Physician
- Alexandria, VA
National Provider Identifier
1538738422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- COMET HEALTHCARE INC
- Practice address
- 3301 Richmond Hwy # 1030
Alexandria, VA 22305-3044 - Phone
- (909) 816-0687
- NPI assigned
- Jun 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katelyn Nicole Honda
- Title
- Coo
- Phone
- (909) 816-0687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
3301 Richmond Hwy # 1030
Alexandria, VA 22305-3044
Mailing address
3301 Richmond Hwy # 1030
Alexandria, VA 22305-3044
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1538738422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 RICHMOND HWY # 1030",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223053044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 RICHMOND HWY # 1030",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223053044",
"telephone_number": "909-816-0687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMET HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "HONDA",
"authorized_official_first_name": "KATELYN",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "909-816-0687"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.