Organization Active NPI

Jennifer M. Lee, LTD

Doing business as Taschler Spine & Rehab

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1649506619
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555856 Issued in VA
Legal business name
JENNIFER M. LEE, LTD
Doing business as
Jennifer M Lee, Ltd
Taschler Spine & Rehab
Practice address
10301 Democracy LN Ste 110
Fairfax, VA 22030-2545
Phone
(703) 293-2939
NPI assigned
Oct 27, 2009
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Jennifer Lee Taschler, D.C.
Title
President
Phone
(703) 293-2939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555856 VA Primary

Addresses

Primary practice location

10301 Democracy LN Ste 110
Fairfax, VA 22030-2545

Mailing address

10301 Democracy LN
Suite 110
Fairfax, VA 22030-2545
Phone (703) 293-2939

Other names 2

  • Jennifer M Lee, Ltd Doing business as
  • Taschler Spine & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190211001580 DC Part B Supplier - Clinic/Group Practice 5799023115 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

10301 Democracy Ln
Ste 110
Fairfax, VA 22030
Phone (703) 293-2939

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1649506619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN",
            "address_2": "SUITE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302545",
            "telephone_number": "703-293-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN STE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302545",
            "telephone_number": "703-293-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M. LEE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TASCHLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-293-2939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer M Lee, Ltd",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Taschler Spine & Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Taschler Spine & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2018; 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.