SPECTRUM PEDIATRICS – NPI #1417165168
Physical Medicine & Rehabilitation

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.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

SPECTRUM PEDIATRICS is a provider located in ALEXANDRIA, VA. NPPES has assigned the NPI number 1417165168 to SPECTRUM PEDIATRICS on May 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine

The NPI profile was previously updated about 3 years ago on Feb 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPECTRUM PEDIATRICS below.

NPI Profile for
SPECTRUM PEDIATRICS

NPI Number
1417165168
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPECTRUM PEDIATRICS
Primary location
218 N. LEE ST. 3RD FLOOR
ALEXANDRIA, VA 22314
Phone: (703) 299-0051 Fax: (571) 495-1684
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIN MCKEE
PROGRAM COORDINATOR
Phone: (585) 943-4624
Updated
Certification Date
Feb 07, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P0010X
- Physical Medicine & Rehabilitation / Pediatric Rehabilitation Medicine (Primary)
235Z00000X
- Speech-Language Pathologist		 VA 2202004163
225XP0200X
- Occupational Therapist / Pediatrics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.