Organization Active NPI

State of the Art Rehab, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fairfax, VA
National Provider Identifier
1669423372
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
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

Updated by the provider on Oct 25, 2007

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.