SELECT REHABILITATION, LLC (NPI# 1346368248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346368248 |
| Entity Type | Organization |
| Organization Name | SELECT REHABILITATION, LLC |
| Practice Address |
4310 Forest Hill Dr Fairfax VA 22030-5680 |
| Mailing Address |
2600 Compass Rd Glenview IL 60026-8001 |
| Practice Telephone | 8474415593 |
| Practice Fax Number | 8474414130 |
| Mailing Telephone | 8474415593 |
| Mailing Fax Number | 8474414130 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | ANNA GARDINA (PRESIDENT) |
| Authorized Official Telephone | 8474415593 |
| Authorized Official Credential | SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982719746 | Select Rehabilitation, LLC | Clinic/Center | 1000 Twinridge Ln, North Chesterfield, VA 23235-5248 | 2006-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SELECT REHABILITATION, LLC | 2600 Compass Rd, Glenview, IL 60026 |
| Iowa Business Entities | SELECT REHABILITATION, LLC | 2600 Compass Rd, Glenview, IL 60026 |
| Washington State Corporations | SELECT REHABILITATION, LLC | 2600 Compass Rd, Glenview, IL 60026-8001 |
| Street Address |
4310 FOREST HILL DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-5680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063944486 | Jessica Eun Chang | Occupational Therapist | 4310 Forest Hill Dr, Fairfax, VA 22030-5680 | 2017-04-03 |
| 1821542515 | Lania Charity | Physical Therapy Assistant | 4310 Forest Hill Dr, Fairfax, VA 22030-5680 | 2016-08-10 |
| 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... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053422055 | Physiotherapy Associates Inc | Clinic/Center | 8301 Arlington Blvd, Suite 209, Fairfax, VA 22031-2902 | 2006-08-31 |
| 1851316368 | Alexandria Sports, Inc. | Clinic/Center | 4001 Fair Ridge Dr, Suite 201, Fairfax, VA 22033-2917 | 2006-07-13 |
| 1285612283 | Fairfax Rehabilitation, Incorporated | Clinic/Center | 10301 Democracy Ln, Suite 100, Fairfax, VA 22030-2545 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578196127 | Professional Therapies of Roanoke Inc. | Clinic/Center | 1380 American Way Court, Unit C, Bedford, VA 24523 | 2020-02-21 |
| 1710517966 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 8986 Lorton Station Blvd Ste 202, Lorton, VA 22079-4755 | 2020-01-16 |
| 1710527841 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 4017 College Ave, Bluefield, VA 24605-2043 | 2020-01-07 |
| 1497391148 | T2 Fitness | Clinic/Center | 928 Diamond Springs Rd Ste 111, Virginia Beach, VA 23455-6601 | 2019-11-18 |
| 1285285031 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 209 Roanoke St Ste 1, Christiansburg, VA 24073-3035 | 2019-09-24 |
| 1184281321 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 7508 Iron Bar Ln Ste 7508, Gainesville, VA 20155-2999 | 2019-05-23 |
| 1427522846 | Dmr Team, LLC | Clinic/Center | 10637 Shannon Hill Rd, Louisa, VA 23093-6352 | 2019-01-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1083117436 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 13650 Heathcote Blvd, Gainesville, VA 20155-3344 | 2018-03-13 |
| Find all providers with the same taxonomy | ||||
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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.