Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manassas Neurology LLC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1063087252

Manassas Neurology LLC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Manassas, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7880 Donegan Dr
Manassas, VA 20109-2869
Phone: (301) 675-0149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X

Record details

NPI number1063087252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frehiwot Temesgen — President · (301) 675-0149
NPI enumeratedMay 21, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address10605 Busick Ct, Gainesville, VA 20155-3400