Page Chiropractic Rehabilitation & Wellness PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001411 Issued in VA

Legal business name

PAGE CHIROPRACTIC REHABILITATION & WELLNESS PC

Practice address

3910 Centreville Rd
Suite 202
Chantilly, VA 20151-3279

Phone

(703) 378-2698

Fax

(703) 378-1451

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Gregory A Page, BS DC

Title

Owner Director

Phone

(703) 378-2698

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1730237124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE RD",
            "address_2": "SUITE 202",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513279",
            "telephone_number": "703-378-2698",
            "fax_number": "703-378-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE RD",
            "address_2": "SUITE 202",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513279",
            "telephone_number": "703-378-2698",
            "fax_number": "703-378-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE CHIROPRACTIC REHABILITATION & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "703-378-2698",
        "authorized_official_credential": "BS  DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthovirginia Inc
• Samuel Ntow Osae, R.N
• Camille Jamaine Osborne, MA-SLP CF
• Kyle Ostrum
• Lindsey Rae Paddock
• Audrey Page
• Gregory Alden Page, B.S., D.C
• Alyssa Paik, PHYSICIAN ASSISTANT
• Ryan Palmer
• Palmercare Chiropractic Chantilly LLC

• All providers in Chantilly, VA
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.