Provider Demographics
NPI:1013012202
Name:CODER CENTER, LTD.
Entity Type:Organization
Organization Name:CODER CENTER, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CODER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:703-820-7777
Mailing Address - Street 1:3825A S GEORGE MASON DR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3763
Mailing Address - Country:US
Mailing Address - Phone:703-820-7777
Mailing Address - Fax:703-820-7778
Practice Address - Street 1:3825A S GEORGE MASON DR
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3763
Practice Address - Country:US
Practice Address - Phone:703-820-7777
Practice Address - Fax:703-820-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23050013552251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA496527Medicare ID - Type Unspecified