Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Omnispine Chiropractic & Rehab Clinic PC

Organization Chiropractor · NPI 1518409804

Omnispine Chiropractic & Rehab Clinic PC provides Chiropractor services in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3930 Walnut St Ste 220
Fairfax, VA 22030-4738
Phone: (703) 865-5899
Fax: (703) 865-6199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 0104557024 (VA)

Record details

NPI number1518409804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chang Ha Lee — President · (703) 865-5899
NPI enumeratedNovember 17, 2016
Last updated in NPPESNovember 17, 2016
Mailing address3930 Walnut St, Suite 220, Fairfax, VA 22030-4738

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