Provider Demographics
NPI:1629010954
Name:CAPITOL REHAB, INC.
Entity Type:Organization
Organization Name:CAPITOL REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BOOKER
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:703-527-5492
Mailing Address - Street 1:801 N QUINCY ST
Mailing Address - Street 2:130
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1999
Mailing Address - Country:US
Mailing Address - Phone:703-527-5492
Mailing Address - Fax:
Practice Address - Street 1:801 N QUINCY ST
Practice Address - Street 2:130
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1999
Practice Address - Country:US
Practice Address - Phone:703-527-5492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy