Organization
INOVA HEALTH CARE SERVICES
Active
Organization
INOVA HEALTH CARE SERVICES
Active
Other names
Inova Physical Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO TALENTO (CHIEF FINANCIAL OFFICER)
(571) 472-8717
Entity
Organization
Contact information
Practice address
8348 TRAFORD LN STE 100, SPRINGFIELD, VA 22152-1650
(703) 569-7335
(703) 569-0665
Mailing address
8095 INNOVATION PARK DR BLDG D, FAIRFAX, VA 22031-4868
(703) 881-1895
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
VA
225100000X
Physical Therapist
Primary
—
VA
261QR0400X
Rehabilitation Clinic/Center
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979753
—
VA
05
—
004979915
—
VA
05
—
004980875
—
VA
05
—
004980905
—
VA
05
—
004980913
—
VA
05
—
004980921
—
VA
05
—
010105064
—
VA
05
—
010274630
—
VA
Enumeration date
10/25/2012
Last updated
07/17/2025
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