Organization Active NPI

Oliver Chiropractic & Acupuncture & Physical Therapy LLC

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1952744542
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2306206706 Issued in VA
Legal business name
OLIVER CHIROPRACTIC & ACUPUNCTURE & PHYSICAL THERAPY LLC
Practice address
208 Elden St
Herndon, VA 20170-4877
Phone
(703) 904-8528
Fax
(703) 904-8529
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Christopher Oliver, DC
Title
Owner
Phone
(703) 904-8528

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104001903 VA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2306206706 VA Primary

Addresses

Primary practice location

208 Elden St
Herndon, VA 20170-4877

Mailing address

208 Elden St
Herndon, VA 20170-4877
Phone (703) 904-8528

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1952744542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704877",
            "telephone_number": "703-904-8528",
            "fax_number": "703-904-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704877",
            "telephone_number": "703-904-8528",
            "fax_number": "703-904-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER CHIROPRACTIC & ACUPUNCTURE & PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-904-8528",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001903",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2306206706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.