Happy Triad Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HAPPY TRIAD PHYSICAL THERAPY, LLC

Practice address

12731 Marblestone Dr Ste 107
Woodbridge, VA 22192-8334

Phone

(773) 766-6643

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Amelie Bumatay Brasher, DPT

Title

Owner

Phone

(773) 766-6643

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1871372235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12883 EFFINGHAM CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926466",
            "telephone_number": "773-766-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 MARBLESTONE DR STE 107",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928334",
            "telephone_number": "773-766-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY TRIAD PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "AMELIE",
        "authorized_official_middle_name": "BUMATAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-766-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Hanania DDS,PC
• Nathan Hansen, DC
• Happy Family Dentistry, P.C.
• Happy Hope Support Group LLC
• Happy Triad Physical Therapy & Wellness
• Deidra Haralson, NP
• Rachael Harasink
• Harboe Services, Inc.
• Harborgrid Inc
• Stephanie A Hardenburg, PH.D.

• Physical Therapy Clinic/Center in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.