AXIOM LINK, INC. (NPI# 1174852867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174852867 |
| Entity Type | Organization |
| Organization Name | AXIOM LINK, INC. |
| Other Organization Name | ACHIEVE BEYOND |
| Practice Address |
11240 Waples Mill Rd Suite 101 Fairfax VA 22030-6078 |
| Mailing Address |
7000 Austin St Suite 200 Forest Hills NY 11375-1022 |
| Practice Telephone | 7032372219 |
| Practice Fax Number | 7032372729 |
| Mailing Telephone | 7187627633 |
| Mailing Fax Number | 7188868694 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | JULIA SUE MATUZA (CEO) |
| Authorized Official Telephone | 7187627633 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACHIEVE BEYOND |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 225720 | 01 |
| Other Name | Type Code |
|---|---|
| Achieve Beyond | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468596 | Axiom Link, Inc. | Home Health | 9620 S Pennsylvania Ave, Unit C, Oklahoma City, OK 73159-6904 | 2009-12-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporation Entity | AXIOM LINK, INC. | 70-00 AUSTIN ST, STE 200 , FOREST HILLS, NEW YORK 11375 |
| Virginia Business Entity | AXIOM LINK, INC. | 225 BROADHOLLOW RD STE 200, MELVILLE, NY 11747 |
| Street Address |
11240 WAPLES MILL RD SUITE 101 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618405 | N & L Enterprise Inc | Durable Medical Equipment & Medical Supplies | 11240 Waples Mill Rd, Ste 306, Fairfax, VA 22030-6078 | 2005-12-01 |
| 1700441177 | Nicholas C. Rehor | Specialist/Technologist | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2019-05-01 |
| 1811453608 | Sara Irandoust | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2019-02-16 |
| 1952873028 | Sajida Perveen Chaudhry | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-12-29 |
| 1598249575 | Loretta Ann Mello | Occupational Therapy Assistant | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-09-17 |
| 1033691811 | Rebecca Learned Lambright | Occupational Therapist | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-08-29 |
| 1205333564 | Susana Rahamatali | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-04-11 |
| 1417457128 | Hosna Hamidi | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-02-19 |
| 1841711702 | Danielle Heim | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2017-06-30 |
| 1245750694 | Michaela Marie Stacy | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2017-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1285612283 | Fairfax Rehabilitation, Incorporated | Clinic/Center | 10301 Democracy Ln, Suite 100, Fairfax, VA 22030-2545 | 2006-01-09 |
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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.