Core Wellness & Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305205043 Issued in VA

Legal business name

CORE WELLNESS & PHYSICAL THERAPY, LLC

Practice address

2212 Mount Vernon Ave
Alexandria, VA 22301-1356

Phone

(571) 403-2673

Fax

(571) 366-2052

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Polis, PT, DPTNPI 1134195175

Title

Owner, Founder, Lead PT

Phone

(571) 309-3048

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Lein Polis, PT, DPT

  • Orthopedic Physical Therapist
  • Alexandria, VA
  • NPI 1134195175
  NPD (past) Authorized official

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1871850164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 MOUNT VERNON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011356",
            "telephone_number": "571-403-2673",
            "fax_number": "571-366-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 MOUNT VERNON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011356",
            "telephone_number": "571-403-2673",
            "fax_number": "571-366-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE WELLNESS & PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "POLIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER, FOUNDER, LEAD PT",
        "authorized_official_telephone_number": "571-309-3048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305205043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Cordle, MSW
• Tara L Cordle, LPC
• Core Bridge Transportation LLC
• Core Communicationz Therapy LLC
• Core Path Medical LLC
• Augusto C. Corella, M.D.
• Lila Corey, LPC
• Nichole Corey
• Cornerstone Chiropractic LLC
• Stephen L Cornwell, M.D.

• Physical Therapy Clinic/Center in Alexandria, VA
• Providers in Alexandria, 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 Mar 4, 2014; 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.