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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