Active NPI
Body Dynamics, Inc
- Orthopedic Physical Therapist
- Falls Church, VA
National Provider Identifier
1427185164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- BODY DYNAMICS, INC
- Practice address
- 410 S Maple Ave
Suite 10
Falls Church, VA 22046 - Phone
- (703) 527-9557
- NPI assigned
- Feb 28, 2007
- 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
- Ms. Jennifer Gamboa, DPT, OCS, MTC
- Title
- President and Clinical Director
- Phone
- (703) 527-9557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | VA | Primary |
Addresses
Primary practice location
410 S Maple Ave
Suite 10
Falls Church, VA 22046
Mailing address
410 S Maple Ave
Suite 10
Falls Church, VA 22046
Phone (703) 527-9557
National Provider Directory
National Provider DirectoryLocations
410 S Maple Ave
Ste 10
Falls Church, VA 22046
Phone (703) 527-9557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561939200000",
"number": "1427185164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S MAPLE AVE",
"address_2": "SUITE 10",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22046",
"telephone_number": "703-527-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S MAPLE AVE",
"address_2": "SUITE 10",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22046",
"telephone_number": "703-527-9557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY DYNAMICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2019-07-01",
"status": "A",
"authorized_official_last_name": "GAMBOA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PRESIDENT AND CLINICAL DIRECTOR",
"authorized_official_telephone_number": "703-527-9557",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DPT, OCS, MTC"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.