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NOVA BACK DOCTOR PPLC NPI 1013416569


NPI Information

NPI: 1013416569
Provider Name: NOVA BACK DOCTOR PPLC
Classification: Chiropractor - 111NR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
6080 FRANCONIA RD STE B
ALEXANDRIA, VA
ZIP 22310
Phone: (703) 719-0900
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NOVA BACK DOCTOR PPLC is a rehabilitation chiropractor in Alexandria, VA. The provider is rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. NOVA BACK DOCTOR PPLC NPI is 1013416569. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6080 FRANCONIA RD STE B
ALEXANDRIA, VA
ZIP 22310-427
Phone: (703) 719-0900

The provider's authorized official is Benjamin Dale Crandall .
The authorized official title is Doctor and has the following contact phone number (703) 719-0900.

The enumeration date for this NPI number is 2/9/2018 and was last updated on 2/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NR0400XChiropractorRehabilitation396VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11073551685OTHERVIRGINIACHIROPRACTOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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