Individual provider Active NPI

Lavell Tyre Handy, DC

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1770181976
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557660 Issued in VA
Practice address
3016 Williams Dr Ste 203
Fairfax, VA 22031-4616
Phone
(571) 531-0825
NPI assigned
Oct 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557660 VA Primary

Addresses

Primary practice location

3016 Williams Dr Ste 203
Fairfax, VA 22031-4616

Mailing address

3016 Williams Dr Ste 203
Fairfax, VA 22031-4616
Phone (571) 531-0825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0104557660VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Sport and Spine Center Chiropractor CurrentSince Oct 12, 2025 Accepting new patients

Locations

3016 Williams Dr
Ste 203
Fairfax, VA 22031
Phone (571) 531-0825

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1770181976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 WILLIAMS DR STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314616",
            "telephone_number": "571-531-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 WILLIAMS DR STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314616",
            "telephone_number": "571-531-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDY",
        "first_name": "LAVELL",
        "middle_name": "TYRE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.