SPORT & SPINE REHAB OF STERLING
NPI 1164619706
Chiropractor in Sterling, VA

Q: What is Sport & Spine Rehab Of Sterling's NPI number?

The NPI number for Sport & Spine Rehab Of Sterling is 1164619706. It was assigned to this organization in the NPPES registry on September 27, 2007.

Q: What is Sport & Spine Rehab Of Sterling's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since September 27, 2007

46440 BENEDICT DR, STE 106, STERLING, VA 20164(240) 766-0300(240) 766-0304 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sport & Spine Rehab Of Sterling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORT & SPINE REHAB OF STERLING (NPI 1164619706) is a healthcare organization registered as a chiropractor in Sterling, Virginia and active in the NPI registry since September 2007. The organization lists Tawanda Hackley, Manger, as its authorized official.

NPPES Registry Identity

NPI1164619706

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSPORT & SPINE REHAB OF STERLING

Location Address46440 BENEDICT DR, STE 106Sterling, VA 20164-6602

Mailing Address11418 Livingston RdFt Washington, MD 20744-5145 · (240) 766-0300 · Fax (240) 766-0304

Phone(240) 766-0300

Fax(240) 766-0304

Organization SubpartNo

Authorized OfficialTawanda HackleyManger · (240) 766-0300

Enumeration DateSeptember 27, 2007

✔ NPI 1164619706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in VA · 0104556518✔ Licensed in VA · 0104556529

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedChiropractor · RadiologyTaxonomy 111NR0200X · License 0104556518 (VA)

Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License 0104556529 (VA)

46440 BENEDICT DR, Sterling, VA 20164

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERICAN CURRENT CARE PA

Clinic/Center (Urgent Care)

46440 BENEDICT DR, SUITE 108
STERLING, VA 20164

Loudoun County (703) 444-5656

E R HUGHES ENTERPRISES INC

Clinic/Center (Dental)

46440 BENEDICT DR, # 201
STERLING, VA 20164

Loudoun County (703) 444-1152

LORI R ANDREW M.D.

Pediatrics

46440 BENEDICT DR, STE 207
STERLING, VA 20164

Loudoun County (703) 444-2100

LOUDOUN COMMUNITY HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))

46440 BENEDICT DR, SUITE 208
STERLING, VA 20164

Loudoun County (571) 434-0022

ERIN ELIZABETH COLLIER NP

Nurse Practitioner (Family)

46440 BENEDICT DR, SUITE 107
STERLING, VA 20164

Loudoun County (703) 450-1125

JUDITH ANNE DERRICO CRNP

Nurse Practitioner (Adult Health)

46440 BENEDICT DR, STE 208
STERLING, VA 20164

Loudoun County (703) 444-3660

JAN W CANTRELL CPNP

Nurse Practitioner (Pediatrics)

46440 BENEDICT DR, STE 207
STERLING, VA 20164

Loudoun County (703) 444-2100

KIMBERLY S KOLB DO

Pediatrics

46440 BENEDICT DR, STE 207
STERLING, VA 20164

Loudoun County (703) 444-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sport & Spine Rehab Of Sterling's NPI number?

The NPI number for Sport & Spine Rehab Of Sterling is 1164619706. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Sport & Spine Rehab Of Sterling located?

Sport & Spine Rehab Of Sterling is located at 46440 Benedict Dr Ste 106, Sterling, VA 20164. The listed phone number is (240) 766-0300.

What is Sport & Spine Rehab Of Sterling's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Sport & Spine Rehab Of Sterling was last updated on September 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.