ADVANCED PHYSICAL MEDICINE & REHABILITATION OF VIRGINIA (NPI# 1285965194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285965194 |
| Entity Type | Organization |
| Organization Name | ADVANCED PHYSICAL MEDICINE & REHABILITATION OF VIRGINIA |
| Practice Address |
5130 Wilson Blvd Arlington VA 22205-1121 |
| Mailing Address |
Po Box 31223 Edmond OK 73003-0021 |
| Practice Telephone | 2025961490 |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-01-18 |
| Authorized Official Name | ALI HEIDARPOUR (ADMIN DIRECTOR) |
| Authorized Official Telephone | 2024875030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Advanced Physical Medicine & Rehabilitation of Virginia Inc. | 411 Grand Avenue, Oakland, California 94610 |
| Street Address |
5130 WILSON BLVD |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801008172 | Jason Eric Grandeo | Physical Therapist | 5130 Wilson Blvd, Suite B-1, Arlington, VA 22205 | 2007-05-07 |
| 1710475975 | April Mundt | Massage Therapist | 5130 Wilson Blvd, Arlington, VA 22205-1169 | 2018-04-24 |
| 1518253780 | Andrea Moore | Physical Therapist | 5130 Wilson Blvd, #b1, Arlington, VA 22205 | 2011-06-25 |
| 1376837278 | Patrick Scott Suarez | Physical Therapist | 5130 Wilson Blvd, Arlington, VA 22205-1169 | 2011-06-08 |
| 1487948980 | Virginia Pain & Rehab, LLC | Internal Medicine | 5130 Wilson Blvd, 2nd Floor, Arlington, VA 22205-1169 | 2011-06-02 |
| 1568763050 | Mandana Hodjati | Physical Therapist | 5130 Wilson Blvd, 2nd Floor, Arlington, VA 22205-1169 | 2010-11-15 |
| 1700014834 | Lauren Proctor | Physical Therapist | 5130 Wilson Blvd, Arlington, VA 22205-1121 | 2009-06-26 |
| 1922259902 | Cynthia Ann Maurer | Physical Therapist | 5130 Wilson Blvd, Arlington, VA 22205 | 2008-10-08 |
| 1265644538 | Jennifer Mahler Gamboa | Physical Therapist | 5130 Wilson Blvd, Suite B-1, Arlington, VA 22205 | 2007-05-07 |
| 1730391004 | Carrie Lynn James | Physical Therapist | 5130 Wilson Blvd, Suite B-1, Arlington, VA 22205 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468085 | Genesis Mobile X-ray, LLC | Clinic/Center | 110 W Randol Mill Rd Ste 228, Arlington, TX 76011-4611 | 2017-07-03 |
| 1396949210 | Paallp | Clinic/Center | 907 Medical Centre Dr Ste B, Arlington, TX 76012-4756 | 2007-06-13 |
| 1538164017 | Accent Family Health Care LLC | Clinic/Center | 1635 W Division St, Arlington, TX 76012-3810 | 2005-06-20 |
| 1568015469 | Community Birth Group | Clinic/Center | 6136 9th Rd N, Arlington, VA 22205-1610 | 2019-07-19 |
| 1780151498 | Southwind Services LLC | Clinic/Center | 1015 W Randol Mill Rd, Arlington, TX 76012-2513 | 2018-10-31 |
| 1881169902 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 2440 S Collins St, Arlington, TX 76014-1239 | 2018-10-04 |
| 1568901288 | Edeneyecare LLC | Clinic/Center | 4018 Campbell Ave, Arlington, VA 22206-3424 | 2017-02-14 |
| 1235675885 | Mri Centers of Texas LLC-arlington Series | Clinic/Center | 1015 W Randol Mill Rd, Arlington, TX 76012-2513 | 2017-01-06 |
| 1770962599 | Apn | Clinic/Center | 800 W Arbrook Blvd, Ste 300, Arlington, TX 76015-4333 | 2015-05-26 |
| 1922485960 | Dfw Tm Management Group Inc. | Clinic/Center | 2361 S Collins St, Arlington, TX 76014-1224 | 2015-04-29 |
| Find all providers in ARLINGTON | ||||
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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.