NOVA SPORTS AND SPINE PHYSICAL THERAPY (NPI# 1730536525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730536525 |
| Entity Type | Organization |
| Organization Name | NOVA SPORTS AND SPINE PHYSICAL THERAPY |
| Other Organization Name | NOVA SPORTS AND SPINE REHAB |
| Practice Address |
7724 Hayfield Rd Alexandria VA 22315-4052 |
| Practice Telephone | 7039712069 |
| Mailing Telephone | 7039712069 |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2016-05-21 |
| Authorized Official Name | LORENZ FORTUNO (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5715944615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305202501 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NATIONAL PROVIDER IDENTIFIER | 1982609541 | 01 |
| Other Name | Type Code |
|---|---|
| Nova Sports and Spine Rehab | Doing Business As Name - Organization |
| Street Address |
7724 HAYFIELD RD |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22315-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609541 | Lorenz Fortune Fortuno | Physical Therapist | 7724 Hayfield Rd, Alexandria, VA 22315-4052 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861871865 | Wegmans Food Markets, Inc. | Pharmacy | 7905 Hilltop Village Center Drive, Alexandria, VA 22315 | 2015-05-22 |
| 1255731071 | Jennifer Becker | Registered Nurse | 6061 Joust Ln, Alexandria, VA 22315 | 2014-08-28 |
| 1386908564 | Gregory James Davis | Pharmacist | 7100 Silver Lake Rd, Alexandria, VA 22315 | 2012-07-02 |
| 1447525910 | Tersit Menberu Gulelat | Pharmacist | 7216 Lake Cove Dr, Alexandria, VA 22315 | 2012-03-17 |
| 1720392871 | Hung Quoc Chau Lu | Dentist | 6479 Old Beulah St, Alexandria, VA 22315 | 2010-07-31 |
| 1962727958 | Armin Susan Razavi | Obstetrics & Gynecology | 5420 Castle Bar Ln, Alexandria, VA 22315 | 2010-04-01 |
| 1205027463 | Roberts Home Medical LLC | Durable Medical Equipment & Medical Supplies | 5680 King Centre Dr Ste 673, Alexandria, VA 22315 | 2007-08-05 |
| 1114045606 | Amanuel Haileab | Pharmacist | 6400 Lansdown Center, Cvs Pharmacy, Alexandria, VA 22315 | 2007-03-26 |
| 1336265859 | Arnold B Braff | Optometrist | 5800 Kingstowne Blvd, Alexandria, VA 22315 | 2007-03-22 |
| 1154404622 | Don J Pisciotta | Dentist | 6408 Grovedale Drive, Suite 100, Franconia, VA 22315 | 2006-10-20 |
| Find all providers in zip 22315 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
| 1194363523 | Frederic Wixson | Clinic/Center | 417 E Windsor Ave, Alexandria, VA 22301-1227 | 2019-12-17 |
| 1568839249 | Ashton Physical Therapy Center | Clinic/Center | 5510 Cherokee Ave Ste 250, Alexandria, VA 22312-2320 | 2015-08-28 |
| 1265724421 | Lori P. Alexander, Mspt, LLC | Clinic/Center | 3805 Sulgrave Dr, Alexandria, VA 22309-2623 | 2011-05-06 |
| 1649434119 | Sunshine Physical Therapy PC | Clinic/Center | 6408 Grovedale Dr, Suite 203, Alexandria, VA 22310-2595 | 2008-07-14 |
| 1114047768 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 5590 General Washington Drive, Alexandria, VA 22312 | 2007-03-29 |
| 1700850401 | Miller Physical Therapy Inc | Clinic/Center | 3912 Parliament Dr, Alexandria, LA 71303-3015 | 2006-02-17 |
| 1093127581 | Inova | Clinic/Center | 6355 Walker Ln, Alexandria, VA 22310-3245 | 2014-06-02 |
| 1518399039 | Tricia Ashton PC | Clinic/Center | 5510 Cherokee Ave, Suite 250, Alexandria, VA 22312-2320 | 2013-08-07 |
| 1487905477 | Balance Rehab Physical Therapy LLC | Clinic/Center | 7202 Fordson Rd, Alexandria, VA 22306-7217 | 2012-10-01 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22315 |
Please comment or provide details below to improve the information on NOVA SPORTS AND SPINE PHYSICAL THERAPY.
| 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.