ELENA IGOREVNA SUTPHIN (NPI# 1134727357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134727357 |
| Entity Type | Individual |
| Full Name | ELENA IGOREVNA SUTPHIN |
| Credential | PTA |
| Practice Address |
1936 Opitz Blvd Ste A Woodbridge VA 22191-3360 |
| Mailing Address |
35332 Quail Meadow Ln Locust Grove VA 22508-3116 |
| Practice Telephone | 5408414443 |
| Mailing Telephone | 9292726742 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 2306605532 | VA | Allopathic & Osteopathic Physicians |
| N | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
2306605532 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VA DEPARTMENT OF HEALTH PROFESSIONALS/BOARD OF PHYSICAL THERAPY | 2306605532 | 01 |
| Street Address |
1936 OPITZ BLVD STE A |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851699227 | Sentara Medical Group | Internal Medicine | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2011-03-08 |
| 1558978882 | Adrienne N. Durante | Occupational Therapy Assistant | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2020-09-30 |
| 1568078426 | Sarah Davis | Speech-Language Pathologist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2020-09-16 |
| 1184240467 | Sindhura Chennupati | Speech-Language Pathologist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2020-06-22 |
| 1790264091 | Mayree Margaret Sheffield | Occupational Therapist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2018-08-08 |
| 1952827735 | Joyce Ann Barry | Occupational Therapist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2017-08-14 |
| 1194190421 | Rachel Melissa Fama | Physical Therapy Assistant | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2015-12-11 |
| 1851773824 | Tina Francis | Occupational Therapy Assistant | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2015-06-25 |
| 1205104957 | Pamela Michelle Crecca | Speech-Language Pathologist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2011-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164935631 | Cornell J Shelton Md Pllc | Physical Medicine & Rehabilitation | 14010 Smoketown Rd Ste 103, Woodbridge, VA 22192-4722 | 2017-11-07 |
| 1033316096 | Chelsea Dawn Hamilton | Physical Medicine & Rehabilitation | 15626 Habitat Ct, Woodbridge, VA 22193-1135 | 2007-07-02 |
| 1124223086 | Miguel Coba | Physical Medicine & Rehabilitation | 477 Rahway Ave, Woodbridge, NJ 07095-3481 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152023 | Leap Physical Therapy, Pllc | Physical Medicine & Rehabilitation | 1708 Dakota Ave, Richmond, VA 23220-6911 | 2020-10-23 |
| 1962018200 | Greenbrier Valley Physical Therapy, LLC | Physical Medicine & Rehabilitation | 9292 Sam Snead Hwy Unit 3, Hot Springs, VA 24445-2928 | 2020-09-22 |
| 1760095657 | Rise Up Physical Therapy PC | Physical Medicine & Rehabilitation | 313 Cutter Cv, Stafford, VA 22554-2621 | 2020-08-28 |
| 1659995173 | Hysa Cognitive and Neurorehabilitation Pllc | Physical Medicine & Rehabilitation | 2465 Centreville Rd # J17-734, Herndon, VA 20171-4586 | 2020-06-01 |
| 1639716855 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 137 Court St Se, Abingdon, VA 24210-3305 | 2019-12-06 |
| 1932746153 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 1945 Thomson Dr, Lynchburg, VA 24501-1025 | 2019-12-06 |
| 1205473428 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 590 W Ridge Rd Ste K, Wytheville, VA 24382-1067 | 2019-12-06 |
| 1386281509 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 739 Thimble Shoals Blvd Ste 108, Newport News, VA 23606-3562 | 2019-12-06 |
| 1447892997 | Greenbrier Valley Physical Therapy LLC | Physical Medicine & Rehabilitation | 29 Cedar Plateau Way, Daleville, VA 24083-1119 | 2019-10-16 |
| 1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.