NPIMap

Organization Active NPI

Fitness and Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Fairfax, VA
National Provider Identifier
1609211036
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2305005634 Issued in VA
Legal business name
FITNESS AND REHABILITATION, INC.
Practice address
10400 Eaton PL
Suite 312
Fairfax, VA 22030-2208
Phone
(703) 340-9341
Fax
(703) 242-7745
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Mrs. Oana Balasa, PT, PPDPTNPI 1952421430
Title
Director, Physical Therapist
Phone
(703) 340-9341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2305005634 VA Primary

Addresses

Primary practice location

10400 Eaton PL
Suite 312
Fairfax, VA 22030-2208

Mailing address

10400 Eaton PL
Suite 312
Fairfax, VA 22030-2208
Phone (703) 340-9341

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130824000165 DC Part B Supplier - Clinic/Group Practice 3173761871 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington, VA; Fairfax, VA

National Provider Directory

National Provider Directory

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": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1609211036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 EATON PL",
            "address_2": "SUITE 312",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302208",
            "telephone_number": "703-340-9341",
            "fax_number": "703-242-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 EATON PL",
            "address_2": "SUITE 312",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302208",
            "telephone_number": "703-340-9341",
            "fax_number": "703-242-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "BALASA",
        "authorized_official_first_name": "OANA",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-340-9341",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, PPDPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305005634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.