Commonwealth Sport and Spine

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

0101049657 Issued in VA

Legal business name

COMMONWEALTH SPORT AND SPINE

Practice address

46165 Westlake Dr Ste 100
Potomac Falls, VA 20165-5872

Phone

(703) 433-1700

Fax

(703) 433-9386

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Albert Bruce Thomas II, M.D.

Title

Owner

Phone

(703) 869-2229

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2905/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1699081877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651062",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201651062",
            "telephone_number": "703-869-2229",
            "fax_number": "703-997-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR STE 100",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "703-433-1700",
            "fax_number": "703-433-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH SPORT AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-869-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101049657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cac Thanh Bui
• Wendy Anne Buttling, MS, CCC-SLP
• Caring Heart Serving Hands LLC
• Therese Chism
• Timothy Cocrane
• Julia Lynn Delizzio, LCSW
• Shreya Alkesh Desai, MD
• Verlyn C Dinson, CRNA
• Grace L Dorsch, MD
• Dr. Amear M. Tadros, DMD, PC

• Physical Medicine & Rehabilitation Physician in Potomac Falls, VA
• Providers in Potomac Falls, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.