NPIMap

Organization Active NPI

Greenspring Village, Inc.

Doing business as Outpatient Rehabilitation Agency at Greenspring

  • Rehabilitation Clinic/Center
  • Springfield, VA
National Provider Identifier
1891870630
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
GREENSPRING VILLAGE, INC.
Doing business as
Outpatient Rehabilitation Agency at Greenspring
Practice address
7430 Spring Village Dr
Attn: Rehabilitation Manager
Springfield, VA 22150-4497
Phone
(703) 923-4600
Fax
(410) 204-7237
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
James K Walter
Title
Finance Director
Phone
(410) 402-2315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

7430 Spring Village Dr
Attn: Rehabilitation Manager
Springfield, VA 22150-4497

Mailing address

7440 Spring Village Drive
Attn: Executive Director
Springfield, VA 22150-4446
Phone (703) 923-4600

Other names 1

  • Outpatient Rehabilitation Agency at Greenspring Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427001322 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3577470335 Practice locations: Springfield, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891870630. Details of each certification follow.

  • CCN 496692 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 496692

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GREENSPRING VILLAGE INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 30, 2002
Last certification
Oct 13, 2021
Ownership / control type
Proprietary
Facility address
7430 Spring Village Drive
Springfield, VA 22150

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Greenspring Village7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7430 Spring Village Dr
Springfield, VA 22150
Phone (703) 923-4600

7410 Spring Village Dr
Springfield, VA 22150
Phone (703) 913-1200

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1891870630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 SPRING VILLAGE DRIVE",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504446",
            "telephone_number": "703-923-4600",
            "fax_number": "410-204-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 SPRING VILLAGE DR",
            "address_2": "ATTN: REHABILITATION MANAGER",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504497",
            "telephone_number": "703-923-4600",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSPRING VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "410-402-2315"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Rehabilitation Agency at Greenspring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.