Organization Active NPI

Mainspring Physical Therapy, LLC

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1053613828
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305005347 Issued in VA
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

Updated by the provider on Nov 29, 2010

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.