Spine Care of Manassas

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000664 Issued in VA

Legal business name

SPINE CARE OF MANASSAS

Practice address

10633 Crestwood Dr
Manassas, VA 20109-3433

Phone

(703) 368-9887

Fax

(703) 369-0603

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Janene L Sutton

Title

Office Manager

Phone

(703) 368-9887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 6

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

• Mikaela Foley-Lorenzen

  • Chiropractor
  • Manassas, VA
  • NPI 1033674544
  Medicare reassignment Care Compare group NPD
• Lincoln Anthony German, D.C.

  • Chiropractor
  • Manassas, VA
  • NPI 1710095450
  Medicare reassignment Care Compare group NPD
• Brittany Chong, DC

  • Chiropractor
  • Manassas, VA
  • NPI 1346594413
  NPD
• Elana J Byer, D.C.

  • Chiropractor
  • Fairfax, VA
  • NPI 1417982901
  NPD (past)
• Erin Wells Kline, D.C.

  • Chiropractor
  • Woodbridge, VA
  • NPI 1811001910
  NPD (past)
• Celeste Ann Orwat, D.C.

  • Chiropractor
  • Manassas, VA
  • NPI 1023385630
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1790965887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10633 CRESTWOOD DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093433",
            "telephone_number": "703-368-9887",
            "fax_number": "703-369-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10633 CRESTWOOD DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093433",
            "telephone_number": "703-368-9887",
            "fax_number": "703-369-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CARE OF MANASSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JANENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-368-9887",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Yesenia Soto-Roca
• Sound Mind Healthcare Services LLC
• Elaine K. Sours, D.D.S.
• Tyenna Spencer-Sturdivvant
• Athaniel Patrick Spicer
• Jaeger Spratt
• Spring of Life Healthcare , LLC
• Srilekha Specialized Health Clinics Inc
• Sangeeta Srivastava, M.D.
• Mary Sroka

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.