AXIOM LINK INC. NPI 1174852867

NPI Information

NPI: 1174852867
Provider Name: AXIOM LINK, INC.

Doing Business As: ACHIEVE BEYOND

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
11240 WAPLES MILL RD
SUITE 101
FAIRFAX, VA
ZIP 22030
Phone: (703) 237-2219
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AXIOM LINK, INC. is a rehabilitation clinic center in Fairfax, VA. AXIOM LINK, INC. NPI is 1174852867. The provider is registered as an organization entity type.
The provider Is Doing Business As Achieve Beyond.

The provider's business location address is:

11240 WAPLES MILL RD
SUITE 101
FAIRFAX, VA
ZIP 22030-078
Phone: (703) 237-2219
Fax: (703) 237-2729

The provider's authorized official is Julia Sue Matuza .
The authorized official title is Ceo and has the following contact phone number (718) 762-7633.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 4/17/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	252Y00000X	Early Intervention Provider Agency		No
2	103K00000X	Behavior Analyst		No
3	235Z00000X	Speech-Language Pathologist		No
4	2251P0200X	Physical Therapist	Pediatrics	No
5	225XP0200X	Occupational Therapist	Pediatrics	No
6	106S00000X	Behavior Technician		No
7	261QR0400X	Clinic/Center	Rehabilitation	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	225720	OTHER		MEDICARE PTAN

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

NPI Synchronization or Removal

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