Sundace Rehabilitation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0131001017 Issued in VA

Legal business name

SUNDACE REHABILITATION

Practice address

9160 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703

Phone

(703) 781-2447

NPI assigned

Nov 21, 2012

Last updated

Nov 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cassie Edgreen

Title

Manager

Phone

(703) 781-2457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1558605014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 COLUMBIA PIKE",
            "address_2": "APT. 308",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222046221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 BELVOIR WOODS PKWY",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602703",
            "telephone_number": "703-781-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDACE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "EDGREEN",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-781-2457"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "0131001017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Stromberg
• Robert Henry Strunk
• Shauna Stupart, M.D.
• Ryung Suh, MD
• Edward Sun
• Sundance Rehabilition
• Lauren Suszan, CRNA
• Heidi B Sutanto, M.D.
• Sean Edward Sykes, DO
• Michelle Szczepanik, MD

• Skilled Nursing Facility in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.