MEDICARE: STATE OF THE ART 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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1669423372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STATE OF THE ART REHAB, INC.

Provider Business Mailing Address
First Line	:	11166 FAIRFAX BLVD
Second Line	:	SUITE 202
City	:	FAIRFAX
State	:	VA
Zip	:	22030-5017
Country	:	US
Telephone Number	:	703-385-3333
Fax Number	:	703-385-3844

Provider Business Practice Location Address
First Line	:	11166 FAIRFAX BLVD
Second Line	:	SUITE 202
City	:	FAIRFAX
State	:	VA
Zip	:	22030-5017
Country	:	US
Telephone Number	:	703-385-3333
Fax Number	:	703-385-3844

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. SRINIVASON ROGER PARTHASARATHY
Credential	:	M.D.
Telephone Number	:	703-385-3333

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	10/25/2007

Similar Medicare Providers

1861185381 — MATTHEW BEEBE LPC
Practice Location Address:

11166 FAIRFAX BLVD STE 207
FAIRFAX, VA
22030-5017

Practice Phone: 703-397-8163
Practice Fax:

1295602373 — THE ASHEZ DME GROUP LLC
Practice Location Address:

11166 FAIRFAX BLVD
FAIRFAX, VA
22030-5017

Practice Phone: 703-672-3852
Practice Fax: 571-316-1688

1831108125 — MS. ANITA ZAPPONE MA,APRN,BC
Practice Location Address:

11166 FAIRFAX BLVD , 405
FAIRFAX, VA
22030-5017

Practice Phone: 703-383-1114
Practice Fax: 703-359-7814

1730277963 — DR. KALPANA SHRIPRAKASH TRIVEDI DDS
Practice Location Address:

11166 FAIRFAX BLVD , #400
FAIRFAX, VA
22030-5017

Practice Phone: 703-691-3015
Practice Fax: 703-691-3016

1871657080 — MARTHA M GILLIS PH.D.
Practice Location Address:

11166 FAIRFAX BLVD , SUITE 203
FAIRFAX, VA
22030-5017

Practice Phone: 703-819-8445
Practice Fax:

1154447589 — KEITH J WILSON DDS PC
Practice Location Address:

11166 FAIRFAX BLVD STE 400
FAIRFAX, VA
22030-5017

Practice Phone: 703-691-3015
Practice Fax: 703-691-3016

Directions to “STATE OF THE ART REHAB, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.