Prince William Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305004656 Issued in VA

Legal business name

PRINCE WILLIAM PHYSICAL THERAPY, LLC

Practice address

8565 Sudley Rd Ste a
Manassas, VA 20110-3864

Phone

(703) 368-4040

Fax

(703) 361-1177

NPI assigned

Jul 8, 2010

Organization subpart

No

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

Authorized official

Name

Robert W BreenNPI 1609977982

Title

Member/Owner

Phone

(703) 368-4040

Specialties & licenses 1

Addresses

Practitioners 1

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

• Robert W. Breen, D.C.

  • Chiropractor
  • Manassas, VA
  • NPI 1609977982
  NPD (past) Authorized official

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1356653133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12613 VICTORY LAKES LOOP",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361274",
            "telephone_number": "703-361-7940",
            "fax_number": "703-361-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 SUDLEY RD STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103864",
            "telephone_number": "703-368-4040",
            "fax_number": "703-361-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE WILLIAM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "BREEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "703-368-4040"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305004656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prince William Orthopaedics Hand Surgery Sports Medicine Center,LLC
• Prince William Orthopedics Hand Surgery & Sports Medicine Center
• Prince William Orthotics & Prosthetics LLC (Prince William O & P LLC)
• Prince William Pathology Associates, PC
• Prince William Pediatric Care Inc.
• Prince William Urology Associates LTD
• Margaret Laureen Pringle, LCSW
• Priority One Delivery and Transportation, LLC
• Privia Medical Group, LLC (Battlefield Family Medicine LLC)
• Professional Sportscare & Rehab, LLC (Pivot Physical Therapy)

• Physical Therapy Clinic/Center in Manassas, VA
• Providers in Manassas, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.