REACH PEDIATRIC REHAB
NPI 1770225674
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Vienna, VA

Q: What is Reach Pediatric Rehab's NPI number?

The NPI number for Reach Pediatric Rehab is 1770225674. It was assigned to this organization in the NPPES registry on April 11, 2022.

Q: What is Reach Pediatric Rehab's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Active since April 11, 2022

8229 BOONE BLVD STE 260, VIENNA, VA 22182(571) 310-2502(571) 413-0290 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 25, 2023, Apr 25, 2022, Apr 11, 2022 (3 updates tracked since 2022).

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About Reach Pediatric Rehab NPPES

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

REACH PEDIATRIC REHAB (NPI 1770225674) is a healthcare organization registered as a pediatric rehabilitation medicine in Vienna, Virginia and active in the NPI registry since April 2022. The organization lists Kelly Loraine Dauer Pham, Owner, as its authorized official.

NPPES Registry Identity

NPI1770225674

Entity TypeOrganization

Primary Taxonomy2081P0010X

Legal Business NameREACH PEDIATRIC REHAB

Location Address8229 BOONE BLVD STE 260Vienna, VA 22182-2661

Mailing Address8229 Boone Blvd Ste 260Vienna, VA 22182-2661 · (571) 310-2502 · Fax (571) 413-0290

Phone(571) 310-2502

Fax(571) 413-0290

Organization SubpartNo

Authorized OfficialKelly Loraine Dauer PhamOwner · (571) 310-2502

Enumeration DateApril 11, 2022

Last NPPES UpdateMay 24, 20243 updates tracked since enumeration

NPPES CertifiedMay 24, 2024

✔ NPI 1770225674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0010X

Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

8229 BOONE BLVD STE 260, Vienna, VA 22182

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Other Names 1

Doing Business AsReach Pediatric Rehab

Group Practice 2

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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reach Pediatric Rehab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Reach Pediatric Rehab, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Pham, MD

Physical Medicine and Rehabilitation

NPI 1417274689

8230 BOONE BLVD STE 170
Vienna, VA 22182

(571) 310-2502

✔ PECOS✔ Accepts Medicare0.1 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 Reach Pediatric Rehab's NPI number?

The NPI number for Reach Pediatric Rehab is 1770225674. It was assigned to this organization in the NPPES registry on April 11, 2022.

Where is Reach Pediatric Rehab located?

Reach Pediatric Rehab is located at 8229 Boone Blvd Ste 260, Vienna, VA 22182. The listed phone number is (571) 310-2502.

What is Reach Pediatric Rehab's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Reach Pediatric Rehab enrolled in Medicare?

Yes. Reach Pediatric Rehab is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reach Pediatric Rehab?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Reach Pediatric Rehab. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Reach Pediatric Rehab was last updated on May 24, 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.