Painrehab

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

01-1232198 Issued in VA

Legal business name

PAINREHAB

Practice address

2823 Duke St
Alexandria, VA 22314-4512

Phone

(703) 823-0063

Fax

(702) 823-0644

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Edith Quiachon Bautista-Quint, MDNPI 1942274329

Title

Medical Director

Phone

(703) 823-0063

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edith Quiachon Bautista-Quint, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Alexandria, VA
  • NPI 1942274329

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1669656971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144512",
            "telephone_number": "703-823-0063",
            "fax_number": "702-823-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144512",
            "telephone_number": "703-823-0063",
            "fax_number": "702-823-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINREHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA-QUINT",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "QUIACHON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-823-0063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "VA",
            "license": "01-1232198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Pacheco-Figueroa, MD
• Haley Padgett
• Erika Elizabeth Roberts Page
• Jeirlyn Arleth Pagoada
• Painfree Chiropractic & Rehab
• Merat Pakdaman, PHARMD
• Pal Home Care LLC
• William G. Palace, MD
• Ramon Palazzolo, LCSW
• Erica Danyelle Palmer, DPT

• All providers in Alexandria, VA
• Pain Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.