Active NPI
Back in Motion Physical Therapy LLC
- Physical Therapist
- Lorton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305003310
- Legal business name
- BACK IN MOTION PHYSICAL THERAPY LLC
- Practice address
- 9447B Lorton Market St
Suite 250
Lorton, VA 22079-1963 - Phone
- (703) 372-5716
- Fax
- (703) 372-5718
- NPI assigned
- Jul 12, 2006
- Last updated
- Jan 5, 2012
- 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
- Mrs. Mary P Nalls, MPT
- Title
- President
- Phone
- (703) 690-2650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305003310 | VA | Primary |
Addresses
Primary practice location
9447B Lorton Market St
Suite 250
Lorton, VA 22079-1963
Mailing address
9447B Lorton Market St
Suite 250
Lorton, VA 22079-1963
Phone (703) 372-5716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5695 King Centre Dr
Ste 102
Alexandria, VA 22315
Phone (571) 312-6966
5825 Barclay Dr
Alexandria, VA 22315
Phone (703) 690-6972
5901 Kingstowne Village Pkwy
Ste 301
Alexandria, VA 22315
Phone (703) 924-2650
6355 Walker Ln
Ste 305
Alexandria, VA 22310
Phone (703) 338-3975
9015 Silverbrook Rd
Ste 105
Fairfax Station, VA 22039
Phone (703) 338-3975
Practitioners & affiliated clinicians
Practitioners 29
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325721600000",
"number": "1992730469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9447B LORTON MARKET ST",
"address_2": "SUITE 250",
"city": "LORTON",
"state": "VA",
"postal_code": "220791963",
"telephone_number": "703-372-5716",
"fax_number": "703-372-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9447B LORTON MARKET ST",
"address_2": "SUITE 250",
"city": "LORTON",
"state": "VA",
"postal_code": "220791963",
"telephone_number": "703-372-5716",
"fax_number": "703-372-5718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK IN MOTION PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2012-01-05",
"status": "A",
"authorized_official_last_name": "NALLS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-690-2650",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.