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REACH PEDIATRIC REHAB NPI 1770225674


NPI Information

NPI: 1770225674
Provider Name: REACH PEDIATRIC REHAB

Doing Business As: REACH PEDIATRIC REHAB

Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Organization

Specialization: Pediatric Rehabilitation Medicine

Address:
8230 BOONE BLVD STE 170
VIENNA, VA
ZIP 22182
Phone: (571) 310-2502
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REACH PEDIATRIC REHAB is a pediatric rehabilitation medicine physical medicine rehabilitation in Vienna, VA. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. REACH PEDIATRIC REHAB NPI is 1770225674. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Reach Pediatric Rehab.

The provider's business location address is:

8230 BOONE BLVD STE 170
VIENNA, VA
ZIP 22182-621
Phone: (571) 310-2502
Fax: (571) 413-0290

The provider's authorized official is Kelly Loraine Dauer Pham .
The authorized official title is Owner and has the following contact phone number (571) 310-2502.

The enumeration date for this NPI number is 4/11/2022 and was last updated on 1/25/2023.


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
1208100000XPhysical Medicine & RehabilitationNo
22081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineYes

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

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