REBOOT FUNCTIONAL HEALTH CARE CORPORATION
NPI 1427709526
Family Medicine in Virginia Beach, VA
About Reboot Functional Health Care Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBOOT FUNCTIONAL HEALTH CARE CORPORATION (NPI 1427709526) is a healthcare organization registered as a family medicine in Virginia Beach, Virginia and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Laurie Dierstein, Owner/authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Reboot Functional Health Care Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Reboot Functional Health Care Corporation, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D2260767
Reboot Functional Health Care · Virginia Beach, VAFrequently 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 Reboot Functional Health Care Corporation's NPI number?
The NPI number for Reboot Functional Health Care Corporation is 1427709526. It was assigned to this organization in the NPPES registry on January 11, 2022.
Where is Reboot Functional Health Care Corporation located?
Reboot Functional Health Care Corporation is located at 2528 Las Brisas Dr, Virginia Beach, VA 23456. The listed phone number is (757) 301-6985.
What is Reboot Functional Health Care Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Reboot Functional Health Care Corporation enrolled in Medicare?
Yes. Reboot Functional Health Care Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Reboot Functional Health Care Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Reboot Functional Health Care Corporation. 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. The largest specialties are Nurse Practitioner (7) and Family Practice (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Reboot Functional Health Care Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2260767) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Reboot Functional Health Care Corporation was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Reboot Functional Health Care Corporation · NPI 1427709526
Family Medicine organization in Virginia Beach, Virginia. Organization record, active in the CMS NPPES registry since January 11, 2022.
## Identity
- **NPI:** 1427709526 (Entity type: Organization)
- **Enumerated:** January 11, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Laurie Dierstein, OWNER/AUTHORIZED OFFICIAL
## Practice location
- **Address:** 2528 LAS BRISAS DR, Virginia Beach, VA 23456-4264
- **Phone:** (757) 301-6985
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (2); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427709526) · Data from the CMS NPPES public registry.