Orthovirginia, Inc.
Organization Active NPI Multi-Specialty Clinic/Center · Alexandria, VA
NPI 1609894450 · NPPES record last updated Jun 3, 2022
Key facts
- NPI
- 1609894450
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- ORTHOVIRGINIA, INC.
- Practice address
- 6355 Walker Lane
Ste 204
Alexandria, VA 22310-3257 - Phone
- (703) 921-2167
- Fax
- (703) 810-5494
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Nicole Proffitt
- Title
- Credentialing & Enrollment
- Phone
- (804) 533-2357
Other NPIs on the same Medicare enrollment 21
Corporate family (same tax ID) 24
Practitioners 10
-
Julie B Crocker, PA
-
William Randolph Mook, M.D.
-
Kristen Marie Moss, FNP
-
Natasha Olliver, PA-C
-
Rachael Solini, PT
-
Marissa G Tibbetts, DPT
-
Michelle Zarnegar, D.P.T.
-
Sriniketh Sundar, D.O
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150102000273 | DC | Part B Supplier - Clinic/Group Practice | 0547157224 |
Receives reassigned benefits from 252 practitioners 27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alexandria, VA; Reston, VA; McLean, VA; MC Lean, VA; Herndon, VA; Fairfax, VA; Burke, VA; Arlington, VA |
National Provider Directory
- Tax ID family
- Orthovirginia
Locations
6355 Walker Ln
Ste 204
Alexandria, VA 22310
Phone (703) 810-5211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
6355 Walker Lane
Ste 204
Alexandria, VA 22310-3257
Mailing address
PO Box 715868
Philadelphia, PA 19171-5868
Phone (804) 915-1910
Other names
- Commonwealth Orthopaedics & Rehabilitation PC
Other providers in Alexandria, VA
- Katherine Orth
- Orthopedic Medicine of Alexandria, LTD.
- Orthotic Solutions, LLC
- Orthovirginia, Inc
- Orthovirginia, Inc.
- Veronica Ortiz
- Samuel Osafo
- Whitney Osborn
- Rachael Osborne-Hemphill
- Diamond Zhanea Osby
All providers in Alexandria, VA · Multi-Specialty Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.