Active NPI
Physical Therapy Your Way PLLC
- Physical Therapy Clinic/Center
- Lorton, VA
National Provider Identifier
1245741024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2305003310
- Legal business name
- PHYSICAL THERAPY YOUR WAY PLLC
- Practice address
- 9447B Lorton Market St Ste 250
Lorton, VA 22079-1963 - Phone
- (703) 372-5716
- Fax
- (703) 372-5716
- NPI assigned
- Oct 19, 2017
- 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
- Mrs. Mary P Nalls, PT
- Title
- Director
- Phone
- (703) 338-3975
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 2305003310 | VA | Primary |
Addresses
Primary practice location
9447B Lorton Market St Ste 250
Lorton, VA 22079-1963
Mailing address
9447B Lorton Market St Ste 250
Lorton, VA 22079-1963
Phone (703) 372-5716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180315001859 | DC | Part B Supplier - Clinic/Group Practice | 9537421300 |
Receives reassigned benefits from 18 practitioners Practice locations: Alexandria, VA; Lorton, VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 31
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": "1508371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508371200000",
"number": "1245741024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9447B LORTON MARKET ST STE 250",
"city": "LORTON",
"state": "VA",
"postal_code": "220791963",
"telephone_number": "703-372-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9447B LORTON MARKET ST STE 250",
"city": "LORTON",
"state": "VA",
"postal_code": "220791963",
"telephone_number": "703-372-5716",
"fax_number": "703-372-5716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY YOUR WAY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-19",
"last_updated": "2017-10-19",
"status": "A",
"authorized_official_last_name": "NALLS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-338-3975",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "VA",
"license": "2305003310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.