NPIMap

Organization Active NPI

Full Motion Life & Sport PLLC

  • Chiropractor
  • Arlington, VA
National Provider Identifier
1295037307
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556422 Issued in VA
Legal business name
FULL MOTION LIFE & SPORT PLLC
Practice address
4815 1St St N
Arlington, VA 22203-2603
Phone
(703) 536-5900
Fax
(703) 536-5902
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Olya Morgen, DCNPI 1881702363
Title
Chiropractor
Phone
(703) 536-5900

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104556422 VA Primary

Addresses

Primary practice location

4815 1St St N
Arlington, VA 22203-2603

Mailing address

4815 1St St N
Arlington, VA 22203-2603
Phone (757) 651-2266

Other names 1

  • Olya A Morgen DC PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110421000394 DC Part B Supplier - Clinic/Group Practice 5991980740 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Locations

4815 1st St N
Arlington, VA 22203
Phone (703) 536-5900

6013B Wilson Blvd
Arlington, VA 22205
Phone (703) 536-5900

Practitioners & affiliated clinicians

Practitioners 7

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": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1295037307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 1ST ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032603",
            "telephone_number": "757-651-2266",
            "fax_number": "703-536-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 1ST ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032603",
            "telephone_number": "703-536-5900",
            "fax_number": "703-536-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL MOTION LIFE & SPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MORGEN",
        "authorized_official_first_name": "OLYA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "703-536-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olya A Morgen DC PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Olya A Morgen DC PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.