Sport & Spine Rehab of Sterling
NPI 1164619706ActiveOrganization· Chiropractor· Sterling, VA
Chiropractor in Sterling, Virginia, registered in NPPES in September 2007. The authorized official on file is Tawanda Hackley, Manger.
Overview
| NPI | 1164619706 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2007 |
| Last updated in NPPES | Sep 27, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 0104556518 | VA |
| Chiropractor | 111N00000X | 0104556529 | VA |
| Chiropractor, Radiology | 111NR0200X | 0104556518 | VA |
| Chiropractor, Rehabilitation | 111NR0400X | 0104556529 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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