Active NPI
Capitol Rehab Annandale, Inc.
- Chiropractor
- Annandale, VA
National Provider Identifier
1699832782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556483
- Legal business name
- CAPITOL REHAB ANNANDALE, INC.
- Practice address
- 6940A Bradlick Shopping Ctr
Annandale, VA 22003-7205 - Phone
- (703) 333-5022
- NPI assigned
- Jan 2, 2007
- 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
- Mohammad Reza Komaily, DC
- Title
- President
- Phone
- (703) 333-5022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556483 | VA | Primary |
Addresses
Primary practice location
6940A Bradlick Shopping Ctr
Annandale, VA 22003-7205
Mailing address
6940A Bradlick Shopping Ctr
Annandale, VA 22003-7205
Phone (703) 333-5022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487735007 | Other | VA | NPI - DR. MO KOMAILY |
| 1245391226 | Other | VA | NPI - DR JEREMY SCHMIDT |
National Provider Directory
National Provider DirectoryLocations
6940A Bradlick Shopping Ctr
Annandale, VA 22003
Phone (703) 333-5022
6940A Braddock Rd
Annandale, VA 22003
Phone (703) 333-5022
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Annandale, VA
- NPI 1245391226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1699832782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6940A BRADLICK SHOPPING CTR",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220037205",
"telephone_number": "703-333-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6940A BRADLICK SHOPPING CTR",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220037205",
"telephone_number": "703-333-5022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITOL REHAB ANNANDALE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "KOMAILY",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "REZA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-333-5022",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI - DR. MO KOMAILY",
"identifier": "1487735007",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI - DR JEREMY SCHMIDT",
"identifier": "1245391226",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
- Dennis Robert Cantwell
- Capital Eye Care LLC
- Capital Heartcare Center, P.C.
- Capital Neuropsychiatry and Wellness LLC
- Capitol Rehab & Wellness of Annandale, LLC
- Carlo Mikhail Locsin Capulong, PT
- Sophie Cardenuto, MA, CCC-SLP
- Cardiac and Vascular Care of Virginia, P.C.
- Cardinal Acupuncture LLC
- Cardiology Specialists of Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.