REACH PEDIATRIC REHAB – NPI #1770225674
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

REACH PEDIATRIC REHAB is a provider located in VIENNA, VA. NPPES has assigned the NPI number 1770225674 to REACH PEDIATRIC REHAB on April 11, 2022. 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 2 years ago on May 24, 2024. 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 REACH PEDIATRIC REHAB below.

NPI Profile for
REACH PEDIATRIC REHAB

NPI Number
1770225674
Enumeration Date

(more than 4 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
REACH PEDIATRIC REHAB
Doing Business As (dba): REACH PEDIATRIC REHAB
Primary location
8229 BOONE BLVD STE 260
VIENNA, VA 22182-2661
Phone: (571) 310-2502 Fax: (571) 413-0290
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KELLY PHAM
OWNER
Phone: (571) 310-2502
Updated
Certification Date
May 24, 2024

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)
208100000X
- Physical Medicine & Rehabilitation

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
HIPPAA COMPLIANT EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
8229 BOONE BLVD STE 260,
VIENNA, VA 77025-1669