Orthovirginia, INC
Clinic/Center, Multi-Specialty in Reston, VA. Organization (NPI-2).
NPI number1679596647
StatusActive
Last updated in NPPESJun 3, 2022
Details
- NPI
- 1679596647
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthovirginia, INC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2006
- Certification date
- Jun 3, 2022
- Last updated
- Jun 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 207X00000X | Orthopaedic Surgery | – | – |
Other names
- Commonwealth Orthopaedics & Rehabilitation PC (Former Legal Business Name)
Practice location
1850 Town Center PkwySuite 400
Reston, VA 20190-3219
Phone 703-810-5202
Mailing address
Po Box 715868Philadelphia, PA 19171-5868
Phone 804-915-1910
Authorized official
Nicole Proffitt
Credentialing/Enrollment
8045332357
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Other Multi-Specialty Clinic/Center providers in Reston, VA
- Capitol Health Group LLCNPI 1164198974
- Foggy Bottom Physician Group INC.NPI 1578468120
- Kemet Health One LLCNPI 1336909068
- Orthovirginia, INCNPI 1053060095
- Orthovirginia, INCNPI 1205185766
- Orthovirginia, INC.NPI 1972777274
All 7 Multi-Specialty Clinic/Center providers in Reston · All 2,193 providers in Reston
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