Whole Motion Therapy and Wellness, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WHOLE MOTION THERAPY AND WELLNESS, PLLC

Practice address

12816 Valleyhill St
Woodbridge, VA 22192-6419

Phone

(703) 718-5909

NPI assigned

Mar 26, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marlene Mireles PT, DPT, PT, DPT

Title

Owner / Physical Therapist

Phone

(703) 718-5909

Specialties & licenses 1

Addresses

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlene Mireles, PT, DPT

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1750868253
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1073074845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12816 VALLEYHILL ST",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926419",
            "telephone_number": "703-718-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12816 VALLEYHILL ST",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926419",
            "telephone_number": "703-718-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE MOTION THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "MIRELES PT, DPT",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-718-5909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MarlenePT@wholemotiontherapy.com",
            "affiliation": "N",
            "endpointDescription": "g-suite account BAA signed",
            "address_1": "8221 Peridot Dr Unit 104",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221023936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnmirelesdpt@wholemotiontherapy.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12816 Valleyhill St",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221926419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latrice Simona White, FNP
• Mitchell Scott White, D.C
• Thornetia Renee White
• Tieya Whites, CRNA
• Julia Whitmer
• Lisa A Wiener, CRNP,CNM
• John James Wierzbicki, D.O.
• Melanie Lyn Wiest, ANP
• Brittany Wiggins
• Jackie Wiggins, CRT

• Physical Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.