Organization
CHANTILLY WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY DEROCCO DC (SECRETARY)
(620) 504-2434
Entity
Organization
Contact information
Practice address
4200A TECHNOLOGY CT, CHANTILLY, VA 20151-1214
(540) 709-1737
(866) 611-3615
Mailing address
4200A TECHNOLOGY CT, CHANTILLY, VA 20151-1214
(540) 709-1737
(866) 611-3615
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
04/28/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up