MEDICARE: CAPITOL REHAB, INC.

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1629010954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITOL REHAB, INC.

Provider Business Mailing Address
First Line	:	801 N QUINCY ST
Second Line	:	130
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1999
Country	:	US
Telephone Number	:	703-527-5492
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N QUINCY ST
Second Line	:	130
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1999
Country	:	US
Telephone Number	:	703-527-5492
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. WILLIAM EDWARD BOOKER IV
Credential	:	DC
Telephone Number	:	703-527-5492

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	03/17/2010

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Directions to “CAPITOL REHAB, INC. ” Practice Location

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