NPIMap

Organization Active NPI

Nova Sports and Spine Physical Therapy

Doing business as Nova Sports and Spine Rehab

  • Physical Therapy Clinic/Center
  • Alexandria, VA
National Provider Identifier
1730536525
Registry record updated May 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2305202501 Issued in VA
Legal business name
NOVA SPORTS AND SPINE PHYSICAL THERAPY
Doing business as
Nova Sports and Spine Rehab
Practice address
7724 Hayfield Rd
Alexandria, VA 22315-4052
Phone
(703) 971-2069
NPI assigned
May 21, 2016
Last updated
May 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2016

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

Authorized official

Name
Lorenz FortunoNPI 1982609541
Title
Physical Therapist
Phone
(571) 594-4615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2305202501 VA Primary

Addresses

Primary practice location

7724 Hayfield Rd
Alexandria, VA 22315-4052

Mailing address

7724 Hayfield Rd
Alexandria, VA 22315-4052
Phone (703) 971-2069

Other identifiers 1

IdentifierTypeStateIssuer
1982609541OtherVANATIONAL PROVIDER IDENTIFIER

Other names 1

  • Nova Sports and Spine Rehab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463788800000",
    "number": "1730536525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7724 HAYFIELD RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154052",
            "telephone_number": "703-971-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7724 HAYFIELD RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154052",
            "telephone_number": "703-971-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SPORTS AND SPINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-21",
        "last_updated": "2016-05-21",
        "status": "A",
        "authorized_official_last_name": "FORTUNO",
        "authorized_official_first_name": "LORENZ",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "571-594-4615"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305202501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1982609541",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Sports and Spine Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; 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.