Organization · Type 2 NPI

Orthovirginia, Inc

Multi-Specialty Clinic/Center · Burke, VA

NPI number 1891718854 Active

Practice location

5201 A Lyngate Court
Burke, VA 22015-1695

Call (703) 810-5221 Map

Mailing address

PO Box 715868
Philadelphia, PA 19171-5868

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
Physical Therapy Clinic/Center	261QP2000X	None listed
Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	None listed

Multi-Specialty Clinic/Center: Definition to come...

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Virginia Integrative PracticeMulti-Specialty Clinic/Center Burke, VA NPI 1376062836

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NPI record

NPI: 1891718854
Entity type: Organization (Type 2)
Issued: Jul 25, 2006
Last updated: Aug 17, 2023
Status: Active

Other names

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Commonwealth Orthopaedics & Rehabilitation PC · former legal business name
Commonwealth Orthopaedics & Rehabilitation PC · former legal business name

Authorized official

Nicole Proffitt
Credentialing/enrollment
(804) 533-2357

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891718854

Orthovirginia, Inc's National Provider Identifier is 1891718854, issued on Jul 25, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Burke, VA. The record was last updated on Aug 17, 2023.