Active NPI
State of the Art Rehab, Inc.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Fairfax, VA
National Provider Identifier
1669423372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- STATE OF THE ART REHAB, INC.
- Practice address
- 11166 Fairfax Blvd
Suite 202
Fairfax, VA 22030-5017 - Phone
- (703) 385-3333
- Fax
- (703) 385-3844
- NPI assigned
- May 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Srinivason Roger Parthasarathy, M.D.
- Title
- Medical Director
- Phone
- (703) 385-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
11166 Fairfax Blvd
Suite 202
Fairfax, VA 22030-5017
Mailing address
11166 Fairfax Blvd
Suite 202
Fairfax, VA 22030-5017
Phone (703) 385-3333
National Provider Directory
National Provider DirectoryLocations
11166 Fairfax Blvd
Ste 202
Fairfax, VA 22030
Phone (703) 385-3333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193270400000",
"number": "1669423372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11166 FAIRFAX BLVD",
"address_2": "SUITE 202",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305017",
"telephone_number": "703-385-3333",
"fax_number": "703-385-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11166 FAIRFAX BLVD",
"address_2": "SUITE 202",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305017",
"telephone_number": "703-385-3333",
"fax_number": "703-385-3844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF THE ART REHAB, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2007-10-25",
"status": "A",
"authorized_official_last_name": "PARTHASARATHY",
"authorized_official_first_name": "SRINIVASON",
"authorized_official_middle_name": "ROGER",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "703-385-3333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"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 Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.