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FORTIFY CHIROPRACTIC AND SPORTS REHAB NPI 1346987450


NPI Information

NPI: 1346987450
Provider Name: FORTIFY CHIROPRACTIC AND SPORTS REHAB
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
43130 AMBERWOOD PLZ STE 105
CHANTILLY, VA
ZIP 20152
Phone: (703) 755-0545
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FORTIFY CHIROPRACTIC AND SPORTS REHAB is a chiropractor in Chantilly, 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. FORTIFY CHIROPRACTIC AND SPORTS REHAB NPI is 1346987450. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

43130 AMBERWOOD PLZ STE 105
CHANTILLY, VA
ZIP 20152-106
Phone: (703) 755-0545
Fax: (703) 991-9179

The provider's authorized official is Christopher J Grivas .
The authorized official title is Owner Of Entity and has the following contact phone number (703) 755-0545.

The enumeration date for this NPI number is 5/19/2022 and was last updated on 5/19/2022.


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
1111N00000XChiropractorYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.