ELEMENTAL WELLNESS AND SPINE PC
NPI 1235975756
Clinic/Center - Multi-Specialty in Sterling, VA

Active since July 03, 2024
21430 CEDAR DR STE 226, STERLING, VA 20164(703) 444-3870 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elemental Wellness And Spine Pc NPPES

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

ELEMENTAL WELLNESS AND SPINE PC (NPI 1235975756) is a healthcare organization registered as a multi-specialty in Sterling, Virginia and active in the NPI registry since July 2024. The organization lists Tony Knapp, Owner, as its authorized official.

NPPES Registry Identity

NPI1235975756
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameELEMENTAL WELLNESS AND SPINE PC
Location Address21430 CEDAR DR STE 226Sterling, VA 20164-8697
Mailing Address21430 Cedar Dr Ste 226Sterling, VA 20164-8697 · (703) 444-3870
Organization SubpartNo
Authorized OfficialTony KnappOwner · (401) 743-1528
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1235975756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
21430 CEDAR DR STE 226, Sterling, VA 20164

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elemental Wellness And Spine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Elemental Wellness And Spine PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1265096127
46165 WESTLAKE DR
Sterling, VA 20165
(703) 433-1555
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1457051997
3930 PENDER DR STE 330
Fairfax, VA 22030
(703) 246-0022
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elemental Wellness And Spine PC's NPI number?

The NPI number for Elemental Wellness And Spine PC is 1235975756. It was assigned to this organization in the NPPES registry on July 3, 2024.

Where is Elemental Wellness And Spine PC located?

Elemental Wellness And Spine PC is located at 21430 Cedar Dr Ste 226, Sterling, VA 20164. The listed phone number is (703) 444-3870.

What is Elemental Wellness And Spine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Elemental Wellness And Spine PC enrolled in Medicare?

Yes. Elemental Wellness And Spine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elemental Wellness And Spine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Elemental Wellness And Spine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elemental Wellness And Spine PC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.