ALEXANDRIA SPORTS, INC. (NPI# 1851316368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851316368 |
Entity Type | Organization |
Organization Name | ALEXANDRIA SPORTS, INC. |
Other Organization Name | SELECT PHYSICAL THERAPY |
Practice Address |
4001 Fair Ridge Dr Suite 201 Fairfax VA 22033-2917 |
Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
Practice Telephone | 7032730093 |
Practice Fax Number | 7032730157 |
Mailing Telephone | 7179721100 |
Enumeration Date | 2006-07-13 |
Last Update Date | 2019-06-26 |
Authorized Official Name | MR. MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY) |
Authorized Official Telephone | 7179721100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Patriot SportsMedicine | Doing Business As Name - Organization |
Select Physical Therapy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821013319 | Alexandria Sports, Inc. | Clinic/Center | 4401 Ford Ave, Suite 301, Alexandria, VA 22302 | 2006-07-13 |
1003831587 | Alexandria Sports, Inc. | Clinic/Center | 5400 Shawnee Rd, Suite 104, Alexandria, VA 22312-2300 | 2006-07-13 |
1639194152 | Alexandria Sports, Inc. | Clinic/Center | 8000 Westpark Dr, Suite 150, Mc Lean, VA 22102-3114 | 2006-07-13 |
1285659789 | Alexandria Sports, Inc. | Clinic/Center | 6035 Burke Centre Pkwy, Suite 300, Burke, VA 22015-3750 | 2006-07-13 |
1225053721 | Alexandria Sports, Inc. | Clinic/Center | 611 S Carlin Springs Rd, Suite 505, Arlington, VA 22204-1088 | 2006-07-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | ALEXANDRIA SPORTS, INC. | 28 Liberty St., New York, Ny 10005 |
Street Address |
4001 FAIR RIDGE DR SUITE 201 |
City | FAIRFAX |
State | VA |
Zip Code | 22033-2917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326040569 | Catherine M Pipan | Family Medicine | 4001 Fair Ridge Dr, Suite 101, Fairfax, VA 22033-2917 | 2005-06-01 |
1093260630 | Brooke Leigh Johnson | Physical Therapist | 4001 Fair Ridge Dr, Suite 203, Fairfax, VA 22033-2917 | 2016-08-24 |
1275985970 | Spine and Pain Clinic of North America, LLC | Pain Medicine | 4001 Fair Ridge Dr, Suite 202, Fairfax, VA 22033-2917 | 2016-07-06 |
1538554670 | Caitlin Day | Physical Therapist | 4001 Fair Ridge Dr, Suite 203, Fairfax, VA 22033-2917 | 2015-04-06 |
1780007450 | Gary D. Cobb, Ph.d., P.C. | Psychologist | 4001 Fair Ridge Dr, Suite 305, Fairfax, VA 22033-2917 | 2014-01-30 |
1902229115 | Linda Coffey | Registered Nurse | 4001 Fair Ridge Dr, Fairfax, VA 22033-2917 | 2014-01-23 |
1619309390 | Pamela Heise | Physical Therapist | 4001 Fair Ridge Dr, Ste 101, Fairfax, VA 22033-2917 | 2013-08-05 |
1245593029 | Kathryn Elizabeth Canyon | Physical Therapy Assistant | 4001 Fair Ridge Dr, Suite 203, Fairfax, VA 22033-2917 | 2012-06-18 |
1346514007 | Maternal Fetal Medicine Associates of Northern Virginia | Obstetrics & Gynecology | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 | 2012-02-28 |
1427339274 | Sally A Mcfarland Md, PC | Internal Medicine | 4001 Fair Ridge Dr, Suite 303, Fairfax, VA 22033-2917 | 2011-09-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
Find all providers in zip 22033 |
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 |
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 |
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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.