Organization Active NPI

Synergy Manual Physical Therapy LLC

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1396143491
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209180 Issued in VA
Legal business name
SYNERGY MANUAL PHYSICAL THERAPY LLC
Practice address
1655 Fort Myer Dr
736
Arlington, VA 22209-3113
Phone
(571) 286-8128
NPI assigned
Dec 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Holly Jonely, PT
Title
Owner
Phone
(571) 286-8128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305209180 VA Primary

Addresses

Primary practice location

1655 Fort Myer Dr
736
Arlington, VA 22209-3113

Mailing address

1655 Fort Myer Dr
736
Arlington, VA 22209-3113

National Provider Directory

National Provider Directory

Locations

1655 Fort Myer Dr
#736
Arlington, VA 22209
Phone (571) 286-8128

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1396143491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 FORT MYER DR",
            "address_2": "736",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 FORT MYER DR",
            "address_2": "736",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093113",
            "telephone_number": "571-286-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MANUAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "JONELY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-286-8128",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 5, 2014; 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.