Organization Active NPI

Happy Triad Physical Therapy & Wellness

  • Physical Therapist
  • Woodbridge, VA
National Provider Identifier
1013501212
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HAPPY TRIAD PHYSICAL THERAPY & WELLNESS
Practice address
12883 Effingham CT
Woodbridge, VA 22192-6466
Phone
(773) 766-6643
NPI assigned
Feb 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amelie Brasher
Title
President/Founder
Phone
(773) 766-6643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12883 Effingham CT
Woodbridge, VA 22192-6466

Mailing address

12883 Effingham CT
Woodbridge, VA 22192-6466
Phone (773) 766-6643

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1013501212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12883 EFFINGHAM CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926466",
            "telephone_number": "773-766-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12883 EFFINGHAM CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926466",
            "telephone_number": "773-766-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY TRIAD PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "AMELIE",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "773-766-6643"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.