Active NPI
Manual Therapy Effects LLC
- Orthopedic Physical Therapist
- McLean, VA
National Provider Identifier
1710024286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305203639
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.