BMH PT P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305208067 Issued in VA

Legal business name

BMH PT P.C.

Doing business as

BMH Physical Therapy

Practice address

4495 Cheshire Station PLZ
Woodbridge, VA 22193-2226

Phone

(571) 659-2540

Fax

(571) 659-2800

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Moonhee Jo, DPTNPI 1275870966

Title

President

Phone

(571) 659-2540

Specialties & licenses 1

Addresses

Other names 1

• BMH Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Moonhee Jo

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1275870966
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1417353129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 CHESHIRE STATION PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932226",
            "telephone_number": "571-659-2540",
            "fax_number": "571-659-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 CHESHIRE STATION PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932226",
            "telephone_number": "571-659-2540",
            "fax_number": "571-659-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMH PT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "MOONHEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-659-2540",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMH Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BMH Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.