Peter Lam, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104557407 Issued in VA

Practice address

552 Fort Evans Rd
Leesburg, VA 20176-3383

Phone

(703) 771-3204

NPI assigned

Sep 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Integrative Health and Wellness LLC

  dba Integrative Chiropractic and Wellness

  • Chiropractor
  • Leesburg, VA
  • NPI 1578309100
  Medicare reassignment NPD
• Virginia Therapy

  • Physical Medicine & Rehabilitation Physician
  • Alexandria, VA
  • NPI 1497285597
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1811406358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 FORT EVANS RD STE 309",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763378",
            "telephone_number": "703-623-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 FORT EVANS RD",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763383",
            "telephone_number": "703-771-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104557407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kurtz
• Kirsten Helen Kwitnieski, ATC
• Ellen Kathleen Labgold, LCSW
• Robert David Lafsky, M.D.
• Matthew Lam, D.D.S
• Brittany Lamb, MD
• Michelle G Lambert, CRNA
• Sydney Lambert, MA
• Steve Juh Lan, D.D.S.
• Margaret Ellen Lang-Garnhart, LCSW

• Sports Physician Chiropractor in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.