Sundance Rehabilition

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0131000595 Issued in VA

Legal business name

SUNDANCE REHABILITION

Practice address

9160 Belvoir Woods Pkwy
Ft Belvoir, VA 22060-2703

Phone

(703) 781-2447

NPI assigned

Nov 28, 2012

Last updated

Nov 28, 2012By 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

Cassie Edgreen

Title

Therapy Program Manager

Phone

(703) 781-2447

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Moira Mazel

  • Occupational Therapy Assistant
  • Arlington, VA
  • NPI 1548649916
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1972848273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 S INGE ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 BELVOIR WOODS PKWY",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "220602703",
            "telephone_number": "703-781-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE REHABILITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "EDGREEN",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "THERAPY PROGRAM MANAGER",
        "authorized_official_telephone_number": "703-781-2447"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "0131000595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Henry Strunk
• Shauna Stupart, M.D.
• Ryung Suh, MD
• Edward Sun
• Sundace Rehabilitation
• Lauren Suszan, CRNA
• Heidi B Sutanto, M.D.
• Sean Edward Sykes, DO
• Michelle Szczepanik, MD
• Michael Paul Szczepanski, M.D.

• Skilled Nursing Facility in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.