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Organization
SPORT AND SPINE REHAB OF FAIRFAX
Active
Organization
SPORT AND SPINE REHAB OF FAIRFAX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY GREENSTEIN DC (CEO)
(240) 766-0300
Entity
Organization
Contact information
Practice address
10807 MAIN STREET, FAIRFAX, VA 22303
(703) 890-2222
Mailing address
11418 LIVINGSTON ROAD, FT. WASHINGTON, MD 20744
(240) 766-0300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07950876
AETNA PPO
—
01
—
1066011
AETNA HMO
—
01
—
196849
ANTHEM
—
01
—
20994125
PHCS
—
01
—
2159023
ALLIANCE
—
01
—
698870
CIGNA PPO
—
01
—
K218
BCBS OF NCA
—
Enumeration date
05/04/2007
Last updated
09/11/2025
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