MEDICARE: CAPITAL CHIROPRACTIC & REHAB CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1134711880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL CHIROPRACTIC & REHAB CENTER LLC

Provider Business Mailing Address
First Line	:	5246 DAWES AVE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22311-1404
Country	:	US
Telephone Number	:	703-357-1985
Fax Number	:

Provider Business Practice Location Address
First Line	:	5246 DAWES AVE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22311-1404
Country	:	US
Telephone Number	:	703-357-1985
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MOJGAN M JAMASI
Credential	:
Telephone Number	:	703-408-2429

Provider Enumeration Date	:	02/04/2021
Last Update Date	:	05/18/2026

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