REBOOT FUNCTIONAL HEALTH CARE CORPORATION
NPI 1427709526
Family Medicine in Virginia Beach, VA

Q: What is Reboot Functional Health Care Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 11, 2022CLIA 49D2260767 · Waiver

2528 LAS BRISAS DR, VIRGINIA BEACH, VA 23456(757) 301-6985 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1427709526

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameREBOOT FUNCTIONAL HEALTH CARE CORPORATION

Location Address2528 LAS BRISAS DRVirginia Beach, VA 23456-4264

Mailing Address2528 Las Brisas DrVirginia Beach, VA 23456-4264 · (757) 301-6985

Phone(757) 301-6985

Organization SubpartNo

Authorized OfficialLaurie DiersteinOwner/authorized Official · (757) 301-6985

Enumeration DateJanuary 11, 2022

NPPES CertifiedJanuary 11, 2022

✔ NPI 1427709526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2528 LAS BRISAS DR, Virginia Beach, VA 23456

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, VA

Active · expires May 22, 2028

CLIA Number49D2260767

Laboratory TypePhysician Office

Certificate Effective DateMay 23, 2026

Certificate Expiration DateMay 22, 2028

Laboratory DirectorMary A. Bjorkman

Laboratory Phone(757) 301-6985

Laboratory LocationReboot Functional Health Care2041 Fisher Arch, Suite 140, Virginia Beach, VA 23456

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DANA ELIZABETH BILGER LPC, ACS

Counselor (Professional)