NR Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NR PHYSICAL THERAPY LLC

Practice address

13890 Braddock Rd Ste 103
Centreville, VA 20121-2436

Phone

(703) 266-7779

Fax

(703) 266-7774

NPI assigned

Jul 28, 2017

Last updated

Jul 21, 2022By 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

Kyung H KimNPI 1831210335

Title

President

Phone

(703) 342-2612

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyung Han Kim, PT

  • Physical Therapist
  • Annandale, VA
  • NPI 1831210335

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Timothy Yun, PT, DPT

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1568717007

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912421108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD STE 103",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212436",
            "telephone_number": "703-266-7779",
            "fax_number": "703-266-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD STE 103",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212436",
            "telephone_number": "703-266-7779",
            "fax_number": "703-266-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-342-2612"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Advanced Eyecare, PLLC
• Nova Dental Works
• Nova Eye MD, Inc.
• Nova Health & Wellness (Clifton Chiropractic Associates)
• Nova Training Center Clinic
• Nulife Physical Therapy P. C.
• Diana H. O'Brien, LCSW
• William Aloysuis O'Donnell, DDS
• Elizabeth Nyako Odoom, FNP
• Joowon Oh

• Physical Therapist in Centreville, VA
• Providers in Centreville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.