Nova Rehabilitation Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305205535 Issued in VA

Legal business name

NOVA REHABILITATION INC

Practice address

19490 Sandridge Way
Suite 170
Lansdowne, VA 20176-3465

Phone

(703) 723-4088

Fax

(703) 723-4564

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Vinod MathewNPI 1407165004

Title

Director

Phone

(703) 415-6037

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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

• Vinod Mathew

  • Physical Therapist
  • Lansdowne, VA
  • NPI 1407165004
  Medicare reassignment Care Compare group NPD Authorized official
• Charles Edward Mack Jr., DPT, PT

  • Physical Therapist
  • Aldie, VA
  • NPI 1376068866
  Medicare reassignment Care Compare group NPD
• Kimberly Dixon

  • Specialist
  • Leesburg, VA
  • NPI 1972688489
  NPD

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1689983298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19490 SANDRIDGE WAY",
            "address_2": "SUITE 170",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763465",
            "telephone_number": "703-415-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19490 SANDRIDGE WAY",
            "address_2": "SUITE 170",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201763465",
            "telephone_number": "703-723-4088",
            "fax_number": "703-723-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-415-6037"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305205535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Elaine Nixon, ED.D.
• Northern Virginia Imaging, LLC
• Northern Virginia Imaging, LLC
• Northland Hearing Centers, Inc.
• Nova Ideal Spine
• Erin Null, OTR/L
• Jennifer Odutola, MD
• Olufunmilola Modupe Ogbonlowo, M.D.
• Oncology/Hematology of Loudoun and Reston, P.C.
• Rebecca Measell Owens, PHD, CCC-A

• Physical Therapy Clinic/Center in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.