Organization Active NPI

Hysa Cognitive and Neurorehabilitation PLLC

  • Physical Medicine & Rehabilitation Physician
  • Herndon, VA
National Provider Identifier
1659995173
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HYSA COGNITIVE AND NEUROREHABILITATION PLLC
Practice address
2465 Centreville Rd # J17-734
Herndon, VA 20171-4586
Phone
(586) 873-1094
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Viola Qafalijaj Hysa, MD
Title
President
Phone
(586) 873-1094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2465 Centreville Rd # J17-734
Herndon, VA 20171-4586

Mailing address

2465 Centreville Rd # J17-734
Herndon, VA 20171-4586
Phone (586) 873-1094

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1659995173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 CENTREVILLE RD # J17-734",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714586",
            "telephone_number": "586-873-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 CENTREVILLE RD # J17-734",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714586",
            "telephone_number": "586-873-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYSA COGNITIVE AND NEUROREHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "HYSA",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_middle_name": "QAFALIJAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-873-1094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.