Alexandria Med Clinic

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ALEXANDRIA MED CLINIC

Practice address

2560 Huntington Ave Ste 104a
Alexandria, VA 22303-1448

Phone

(571) 429-5871

NPI assigned

May 17, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emma Cull

Title

Coo

Phone

(678) 469-5011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1922535228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 SOUTHWEST FWY STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 HUNTINGTON AVE STE 104A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031448",
            "telephone_number": "571-429-5871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5821 Southwest Fwy Ste 550",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770577531",
            "country_code": "US",
            "telephone_number": "571-429-5871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEXANDRIA MED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Kids Dentistry PC (Alexandria Children's Dentistry)
• Alexandria Lactation Partners
• Alexandria Lake Ridge Pediatrics
• Alexandria Lake Ridge Pediatrics (ALL Pediatrics)
• Alexandria Lake Ridge Pediatrics
• Alexandria Medical Center, Inc (Alexandria Medical Center)
• Alexandria Mental Health
• Alexandria Midwife
• Alexandria Neighborhood Health Services, Inc. (ANHSI-King Street Dental)
• Alexandria Old Town Dental PLLC

• Physical Medicine & Rehabilitation Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.