Active NPI
Mainspring Physical Therapy, LLC
- Physical Therapist
- Falls Church, VA
National Provider Identifier
1053613828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305005347
- Legal business name
- MAINSPRING PHYSICAL THERAPY, LLC
- Practice address
- 402 W Broad St
2ND Floor
Falls Church, VA 22046-3337 - Phone
- (240) 463-4665
- NPI assigned
- Nov 29, 2010
- 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
- Andrew Paul Cichosz
- Title
- Manager
- Phone
- (240) 463-4665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305005347 | VA | Primary |
Addresses
Primary practice location
402 W Broad St
2ND Floor
Falls Church, VA 22046-3337
Mailing address
402 W Broad St
2ND Floor
Falls Church, VA 22046-3337
Phone (240) 463-4665
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290988800000",
"number": "1053613828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W BROAD ST",
"address_2": "2ND FLOOR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463337",
"telephone_number": "240-463-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W BROAD ST",
"address_2": "2ND FLOOR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463337",
"telephone_number": "240-463-4665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINSPRING PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2010-11-29",
"status": "A",
"authorized_official_last_name": "CICHOSZ",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "240-463-4665"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.