Active NPI
Mary P Nalls, PT
- Physical Therapist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23050003310
- Practice address
- 5825 Barclay Dr
Alexandria, VA 22315-5730 - Phone
- (703) 924-2650
- Fax
- (703) 690-0344
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23050003310 | VA | Primary |
Addresses
Primary practice location
5825 Barclay Dr
Alexandria, VA 22315-5730
Mailing address
8523 Oak Pointe Way
Fairfax Station, VA 22039-3340
Phone (703) 690-6972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9447 B Lorton Market St
Suite 250
Lorton, VA 22079-1963
Phone (703) 372-5716
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23050003310 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Your Way PLLC | Current | Accepting new patients | |
| Back in Motion Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
5695 King Centre Dr
Ste 102
Alexandria, VA 22315
Phone (571) 312-6966
5825 Barclay Dr
Alexandria, VA 22315
Phone (703) 690-6972
9447B Lorton Market St
#250
Lorton, VA 22079
Phone (703) 372-5716
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063430650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8523 OAK POINTE WAY",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220393340",
"telephone_number": "703-690-6972",
"fax_number": "703-690-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 BARCLAY DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223155730",
"telephone_number": "703-924-2650",
"fax_number": "703-690-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALLS",
"first_name": "MARY",
"middle_name": "P",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "23050003310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.