1619995453 NPI number — COMMONWEALTH ORTHOPAEDICS & REHABILITATION PC

Table of content: MS. CHRISTY MARIE ZAIL M.A., MFT (NPI 1053659896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619995453 NPI number — COMMONWEALTH ORTHOPAEDICS & REHABILITATION PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMONWEALTH ORTHOPAEDICS & REHABILITATION PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619995453
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11240 WAPLES MILL RD
Provider Second Line Business Mailing Address:
SUITE 403
Provider Business Mailing Address City Name:
FAIRFAX
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22030
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-246-8080
Provider Business Mailing Address Fax Number:
703-691-4933

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2875 DUKE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-751-7660
Provider Business Practice Location Address Fax Number:
703-751-5880
Provider Enumeration Date:
07/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HARVEY
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
L
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
703-246-8080

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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