POTOMAC PHYSICAL MEDICINE NPI 1538552781

NPI Information

  • NPI: 1538552781
  • Provider Name: POTOMAC PHYSICAL MEDICINE
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: POTOMAC PHYSICAL MEDICINE
  • Address: 113 N HENRY ST
    ALEXANDRIA, VA
    ZIP 22314
  • Phone: (571) 234-9319

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NPI Details

POTOMAC PHYSICAL MEDICINE is a chiropractor in Alexandria, VA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. POTOMAC PHYSICAL MEDICINE NPI is 1538552781. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Potomac Physical Medicine.

The provider's business location address is:

113 N HENRY ST
ALEXANDRIA, VA
ZIP 22314-903
Phone: (571) 234-9319

The provider's authorized official is Matthew Fontaine .
The authorized official title is Doctor/owner and has the following contact phone number (571) 982-3354.

The enumeration date for this NPI number is 3/12/2015 and was last updated on 1/6/2023.

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 License Number License State Primary
1111N00000XChiropractor0104556931VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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