Active NPI
Momentum Therapy Services LLC
- Physical Therapy Clinic/Center
- Stephens City, VA
National Provider Identifier
1043840846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MOMENTUM THERAPY SERVICES LLC
- Doing business as
- Momentum
- Practice address
- 110 Spanish Oak Rd
Stephens City, VA 22655-4042 - Phone
- (703) 431-3202
- Fax
- (540) 301-0751
- NPI assigned
- Jan 21, 2020
- 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
- Mr. Hussein Ibrahim, DPT
- Title
- President/Ceo
- Phone
- (703) 333-5288
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
110 Spanish Oak Rd
Stephens City, VA 22655-4042
Mailing address
115 Creekside LN
Winchester, VA 22602-2429
Phone (703) 431-3202
Other names 1
- Momentum
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Strasburg, VA
- NPI 1821378290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579564800000",
"number": "1043840846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CREEKSIDE LN",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226022429",
"telephone_number": "703-431-3202",
"fax_number": "540-301-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SPANISH OAK RD",
"city": "STEPHENS CITY",
"state": "VA",
"postal_code": "226554042",
"telephone_number": "703-431-3202",
"fax_number": "540-301-0751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-21",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A",
"authorized_official_last_name": "IBRAHIM",
"authorized_official_first_name": "HUSSEIN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "703-333-5288",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Momentum",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stephens City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.