Fairfax Rehabilitation, Incorporated
LBN: Fairfax Rehabilitation, Incorporated
Fairfax Rehabilitation, Incorporated is an health care organization with primary practice located at 10301 Democracy Ln Suite 100, Fairfax VA 22030-2545. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty.
Fairfax Rehabilitation, Incorporated can be contacted via phone (703) 273-9191, or through Bush, Melanie Rochon via phone (703) 273-9191.
Contact Information
Primary practice address
10301 Democracy Ln Suite 100
Fairfax VA 22030-2545
Phone: (703) 273-9191
Fax: (703) 273-9213
Website:
Authorized official contact:
Name: Bush, Melanie Rochon Physical Therapist (PT)
Phone: (703) 273-9191
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | 2305001398 | Virginia |
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | 2305002194 | Virginia |
Profile Details
| NPI number | 1285612283 |
|---|---|
| LBN Legal business name | Fairfax Rehabilitation, Incorporated |
| DBA Doing business as | |
| Authorized official | Bush, Melanie Rochon Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Nov 30th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285612283 | NPPES |
| Virginia | MEDICAID | 4979184 |
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