ALEXANDRIA SPORTS, INC.


Address: 4001 Fair Ridge Dr, Suite 201, Fairfax, VA 22033-2917
Phone: 7032730093

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Patriot SportsMedicine Doing Business As Name - Organization
Select Physical Therapy Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations ALEXANDRIA SPORTS, INC. 28 Liberty St., New York, Ny 10005

Office Location

Street Address 4001 FAIR RIDGE DR
SUITE 201
City FAIRFAX
State VA
Zip Code 22033-2917

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City FAIRFAX
Zip Code 22033

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Dataset Information

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.

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