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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SPORT AND SPINE REHAB OF FAIRFAX

Active Organization

SPORT AND SPINE REHAB OF FAIRFAX is a Physical Therapy Assistant organization located in FAIRFAX, Virginia. NPI 1174735856 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FAIRFAX, VA

Registration Details

NPI Number
1174735856
Provider Type
Organization
NPI Issued
May 4, 2007 (19.285115852477 yrs)
Last Updated
Sep 11, 2025

Practice Information

Address
10807 MAIN STREET
FAIRFAX, VA, 22303
Browse VA providers · Browse ZIP 22303
Phone
7038902222
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.