Advanced Chiropractic and Rehabilitation PC
Organization Active NPI Chiropractor · Gainesville, VA
NPI 1720060650 · NPPES record last updated Jun 16, 2020
Key facts
- NPI
- 1720060650
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0104556132 (VA)
- Legal business name
- ADVANCED CHIROPRACTIC AND REHABILITATION PC
- Practice address
- 14535 John Marshall Highway
Suite 102
Gainesville, VA 20155-3839 - Phone
- (703) 753-0974
- Fax
- (703) 753-9709
- NPI assigned
- Nov 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Holly D Moriarty, DC
- Title
- Owner
- Phone
- (703) 675-7179
Practitioners 9
-
Holly D Moriarty, DC
-
Saeed Amiri, DC
-
Rana Baz, DPT
-
Robert L Woelkers, DPT, PT, CSCS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040129001189 | VA | Part B Supplier - Clinic/Group Practice | 6901709617 |
Receives reassigned benefits from 2 practitioners Practice locations: Gainesville, VA |
National Provider Directory
Locations
14535 John Marshall Hwy
Ste 203
Gainesville, VA 20155
Phone (703) 753-0261
14535 John Marshall Hwy
Ste 102
Gainesville, VA 20155
Phone (703) 753-0974
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 0104556132 | VA | Yes |
Addresses
Primary practice location
14535 John Marshall Highway
Suite 102
Gainesville, VA 20155-3839
Mailing address
14535 John Marshall Hwy Ste 104
Gainesville, VA 20155-4024
Phone (703) 753-0974
Other names
- Haymarket Chiropractic
- Haymarket Chiropractic and Rehabilitation
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.