SPORT AND SPINE REHAB OF FAIRFAX
NPI 1174735856
Physical Therapist in Fairfax, VA

Active since May 04, 2007
10807 MAIN STREET, FAIRFAX, VA 22303(703) 890-2222 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Sport And Spine Rehab Of Fairfax NPPES

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

SPORT AND SPINE REHAB OF FAIRFAX (NPI 1174735856) is a healthcare organization registered as a physical therapist in Fairfax, Virginia and active in the NPI registry since May 2007. The organization lists Jay Greenstein, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174735856
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSPORT AND SPINE REHAB OF FAIRFAX
Location Address10807 MAIN STREETFairfax, VA 22303
Mailing Address11418 Livingston RoadFt. Washington, MD 20744 · (240) 766-0300
Organization SubpartNo
Authorized OfficialJay GreensteinCeo · (240) 766-0300
Enumeration DateMay 4, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1174735856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedChiropractorTaxonomy 111N00000X
10807 MAIN STREET, Fairfax, VA 22303

Other Identifiers 9

Other196849Anthem
Other20994125Phcs
Other07950876Aetna Ppo
OtherK218Bcbs Of Nca
Other2159023Alliance
Other1066011Aetna Hmo
Other698870Cigna Ppo
Other1066011Ashn Cigna Hmo
Other2159023Mamsi Mdipa Optimum Choic

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

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 And Spine Rehab Of Fairfax's NPI number?

The NPI number for Sport And Spine Rehab Of Fairfax is 1174735856. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Sport And Spine Rehab Of Fairfax located?

Sport And Spine Rehab Of Fairfax is located at 10807 Main Street, Fairfax, VA 22303. The listed phone number is (703) 890-2222.

What is Sport And Spine Rehab Of Fairfax's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Sport And Spine Rehab Of Fairfax was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.