OrganizationActive
State of the Art Rehab, Inc.
NPI 1669423372 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Fairfax, VA
Provider details
- NPI number
- 1669423372
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Srinivason Parthasarathy, Medical Director
Practice location
11166 Fairfax Blvd
Suite 202
Fairfax, VA 22030-5017
Phone: (703) 385-3333
Fax: (703) 385-3844
Mailing address
11166 Fairfax Blvd
Fairfax, VA 22030-5017
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2007-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.