Active NPI
Happy Triad Physical Therapy & Wellness
- Physical Therapist
- Woodbridge, VA
National Provider Identifier
1013501212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.