=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386359214
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADEPT HEALTH & WELLNESS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2023
-----------------------------------------------------
Last Update Date | 05/18/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4200 EVERGREEN LN STE 332 OFFICE 5
-----------------------------------------------------
City | ANNANDALE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22003-3245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-493-0440
-----------------------------------------------------
Fax | 703-997-8982
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4200 EVERGREEN LN STE 332 OFFICE 5
-----------------------------------------------------
City | ANNANDALE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22003-3245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-493-0440
-----------------------------------------------------
Fax | 703-997-8982
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | DR. CHRISTOPHER MARK SCOTT
-----------------------------------------------------
Credential | DPT, MBA
-----------------------------------------------------
Telephone | 434-944-1747
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------