Organization Active NPI

Body Dynamics, Inc

  • Orthopedic Physical Therapist
  • Falls Church, VA
National Provider Identifier
1427185164
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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

Updated by the provider on Jul 1, 2019

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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.