Organization Active NPI

Bodies in Motion Physical Therapy IV, LLC

Doing business as Bodies In Motion PT IV

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1154809531
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305003855 Issued in VA
Legal business name
BODIES IN MOTION PHYSICAL THERAPY IV, LLC
Doing business as
Bodies In Motion PT IV
Practice address
2800 Eisenhower Ave Ste 105
Alexandria, VA 22314-5204
Phone
(703) 237-2000
Fax
(703) 237-2155
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Amanda Smith
Title
Coo
Phone
(703) 237-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305003855 VA Primary

Addresses

Primary practice location

2800 Eisenhower Ave Ste 105
Alexandria, VA 22314-5204

Mailing address

2800 Eisenhower Ave Ste 105
Alexandria, VA 22314-5204
Phone (703) 237-2000

Other names 1

  • Bodies In Motion PT IV Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180924002887 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719238187 Receives reassigned benefits from 4 practitioners
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

2800 Eisenhower Ave
Ste 105
Alexandria, VA 22314
Phone (571) 777-8081

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1154809531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 EISENHOWER AVE STE 105",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145204",
            "telephone_number": "703-237-2000",
            "fax_number": "703-237-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 EISENHOWER AVE STE 105",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145204",
            "telephone_number": "703-237-2000",
            "fax_number": "703-237-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODIES IN MOTION PHYSICAL THERAPY IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "703-237-2000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodies In Motion PT IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.