Nulife Physical Therapy P. C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

2305102993 Issued in VA

Legal business name

NULIFE PHYSICAL THERAPY P. C.

Practice address

14701 Lee Hwy
Suite # 206
Centreville, VA 20121-2114

Phone

(571) 215-5061

NPI assigned

Nov 16, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sunmi Hammontree

Title

Office Manager

Phone

(240) 498-7693

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598747404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 HAMPSHIRE DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217021185",
            "telephone_number": "301-360-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 LEE HWY",
            "address_2": "SUITE # 206",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212114",
            "telephone_number": "571-215-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULIFE PHYSICAL THERAPY P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMONTREE",
        "authorized_official_first_name": "SUNMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "240-498-7693",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "2305102993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joowon Oh
• Pascal Ndip Ojage

• Specialist in Centreville, VA
• Providers in Centreville, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.