Skyline Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556267 Issued in VA

Legal business name

SKYLINE WELLNESS CENTER

Practice address

4218 King St
Alexandria, VA 22302-1507

Phone

(703) 879-5144

Fax

(703) 879-5860

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Wilfried F Sansfaute, D.C.NPI 1386768000

Title

Chiropractor

Phone

(703) 873-5144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 4

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

• Wilfried F Sansfaute, D.C

  • Chiropractor
  • Arlington, VA
  • NPI 1386768000

  DC

  Medicare reassignment NPD Authorized official
• Brandon Anthony Czekaj, D.C.

  • Chiropractor
  • Centreville, VA
  • NPI 1235461062
  NPD (past)
• Devon Linton, DOM, AP, LAC, MLS

  • Acupuncturist
  • Arlington, VA
  • NPI 1073748430
  NPD (past)
• Mary Mischtschuk, LCSW

  • Clinical Social Worker
  • Woodbridge, VA
  • NPI 1043293012
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1760623201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021507",
            "telephone_number": "703-879-5144",
            "fax_number": "703-879-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021507",
            "telephone_number": "703-879-5144",
            "fax_number": "703-879-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "SANSFAUTE",
        "authorized_official_first_name": "WILFRIED",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "703-873-5144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin J Skopp, DC
• Lauren Skovira, MS, OTR/L
• Sky-Line Patient Transport LLC
• Skyline Medical Center Inc
• Skyline Psychiatric Associates Inc
• Pamela Angilette Sledge, OTR/L
• Sleep Centers of Northern Virginia
• Molly Nicole Sliva, PT, DPT
• Brittany Jewel Small, MA
• Jacquelyne M Smalls, PSY.D.

• Chiropractor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.