Organization Active NPI

Rehabilitation Medicine Physicians

  • Physical Medicine & Rehabilitation Physician
  • Fredericksburg, VA
National Provider Identifier
1851318505
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101228930 Issued in VA
Legal business name
REHABILITATION MEDICINE PHYSICIANS
Practice address
2216 Princess Anne St
Suite 203
Fredericksburg, VA 22401-3300
Phone
(540) 374-3164
Fax
(540) 899-1342
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bao Cong Truong
Title
Executive Director
Phone
(540) 374-3164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 0101228930 VA Primary

Addresses

Primary practice location

2216 Princess Anne St
Suite 203
Fredericksburg, VA 22401-3300

Mailing address

2216 Princess Anne St
Suite 203
Fredericksburg, VA 22401-3300
Phone (540) 374-3164

National Provider Directory

National Provider Directory

Locations

2216 Princess Anne St
Ste 203
Fredericksburg, VA 22401
Phone (540) 374-3164

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851318505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 PRINCESS ANNE ST",
            "address_2": "SUITE 203",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013300",
            "telephone_number": "540-374-3164",
            "fax_number": "540-899-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 PRINCESS ANNE ST",
            "address_2": "SUITE 203",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013300",
            "telephone_number": "540-374-3164",
            "fax_number": "540-899-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICINE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "BAO",
        "authorized_official_middle_name": "CONG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-374-3164",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101228930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.