Summit Pediatric Rehab of No. VA, P.C.

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

Legal business name

SUMMIT PEDIATRIC REHAB OF NO. VA, P.C.

Practice address

2826 Old Lee Hwy
Suite 200
Fairfax, VA 22031-4323

Phone

(877) 703-3448

Fax

(301) 668-7008

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Rhonda Viola

Title

Business Manager

Phone

(240) 397-7003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1851592182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PROSPERITY AVE STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314330",
            "telephone_number": "703-289-1435",
            "fax_number": "703-289-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "877-703-3448",
            "fax_number": "301-668-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PEDIATRIC REHAB OF NO. VA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "VIOLA",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "240-397-7003"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles Trent Sully, PT, DPT, CSCS
• David Benjamin Summer, M.D.
• Anne E Summers, MD
• Carrie Summers, MS, CAGS, NCSP
• Joshua Summers, P.T.
• Erin Patricia Sumser, RN, LCSW
• Sun Medical LLC
• Ke Sun, M.D.
• Charanya Sundar
• Hema Annam Sundaram, M.D.

• Pediatric Rehabilitation Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pediatric Rehabilitation Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.