OrganizationActive
Atlantic Knee Restoration & Regenerative Medicine - Reston
NPI 1376116343 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Herndon, VA
Provider details
- NPI number
- 1376116343
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Crittenden, Owner(256) 302-2228
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
106 Elden St Ste 10
Herndon, VA 20170-4826
Phone: (703) 854-1432
Approximate (ZIP-level) locationGet directions
Mailing address
7481 Right Flank Rd Ste 100
Mechanicsville, VA 23116-3838
Registry dates
- Enumerated
- 2021-07-19
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.