Healthcare Provider Details

I. General information

NPI: 1043563257
Provider Name (Legal Business Name): INOVA HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8348 TRAFORD LN STE 100
SPRINGFIELD VA
22152-1650
US

IV. Provider business mailing address

8095 INNOVATION PARK DR BLDG D
FAIRFAX VA
22031-4868
US

V. Phone/Fax

Practice location:
  • Phone: 703-569-7335
  • Fax: 703-569-0665
Mailing address:
  • Phone: 703-881-1895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateVA

VIII. Authorized Official

Name: RICARDO TALENTO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 571-472-8717