Inova Physical Rehabilitation Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INOVA PHYSICAL REHABILITATION SERVICES

Doing business as

Inova Physical Therapy Center

Practice address

2990 Telestar CT
3Rd Floor
Falls Church, VA 22042-1207

Phone

(571) 423-5742

Fax

(571) 423-5775

NPI assigned

Nov 1, 2006

Last updated

Nov 30, 2010By 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

Lorraine Riche, PT

Title

Executive Director

Phone

(703) 279-4307

Specialties & licenses 3

Addresses

Other identifiers 8

Other names 1

• INOVA PHYSICAL THERAPY CENTER Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1649357609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 TELESTAR CT",
            "address_2": "SUITE 3PT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421207",
            "telephone_number": "571-423-5742",
            "fax_number": "571-423-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 TELESTAR CT",
            "address_2": "3RD FLOOR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421207",
            "telephone_number": "571-423-5742",
            "fax_number": "571-423-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA PHYSICAL REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "RICHE",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-279-4307",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004979753",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004980921",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004979915",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004980905",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004980913",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010105064",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010274630",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004980875",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INOVA PHYSICAL THERAPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.