Organization Active NPI

Manual Therapy Effects LLC

  • Orthopedic Physical Therapist
  • McLean, VA
National Provider Identifier
1710024286
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305203639 Issued in VA
Legal business name
MANUAL THERAPY EFFECTS LLC
Practice address
7900 Westpark Dr
Suite A030
McLean, VA 22102-4242
Phone
(703) 848-0881
Fax
(703) 848-0889
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jamie So, MSPT
Title
Physical Therapist, Owner
Phone
(703) 622-0603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 2305203639 VA Primary

Addresses

Primary practice location

7900 Westpark Dr
Suite A030
McLean, VA 22102-4242

Mailing address

1204 N Inglewood St
Arlington, VA 22205-2461
Phone (703) 622-0603

Other names 1

  • Capitol Metro Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

7900 Westpark Dr
Ste A30
McLean, VA 22102
Phone (703) 650-8824

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710024286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N INGLEWOOD ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222052461",
            "telephone_number": "703-622-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 WESTPARK DR",
            "address_2": "SUITE A030",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221024242",
            "telephone_number": "703-848-0881",
            "fax_number": "703-848-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL THERAPY EFFECTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "703-622-0603",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305203639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Metro Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McLean, VA

Sources for this page

  • 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.