NPIMap

Organization Active NPI

Chiron Diagnostics, LLC

  • Clinical Electrophysiology Physical Therapist
  • South Riding, VA
National Provider Identifier
1720720014
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
Legal business name
CHIRON DIAGNOSTICS, LLC
Practice address
24790 Meadows Farms Court
South Riding, VA 20152-3000
Phone
(703) 372-4445
Fax
(703) 957-3365
NPI assigned
Apr 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Lindsay Simmons-Campbell
Title
Member
Phone
(703) 372-4445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1300X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

24790 Meadows Farms Court
South Riding, VA 20152-3000

Mailing address

24790 Meadows Farms Court
South Riding, VA 20152
Phone (703) 327-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250528001944 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759800238 Practice locations: South Riding, VA

National Provider Directory

National Provider Directory

Locations

24790 Meadows Farms Ct
South Riding, VA 20152
Phone (703) 372-4445

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1720720014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24790 MEADOWS FARMS COURT",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "20152",
            "telephone_number": "703-327-4445",
            "fax_number": "703-957-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24790 MEADOWS FARMS COURT",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201523000",
            "telephone_number": "703-372-4445",
            "fax_number": "703-957-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRON DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "SIMMONS-CAMPBELL",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-372-4445"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Riding, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.