Organization Active NPI

Back in Motion Physical Therapy LLC

  • Physical Therapist
  • Lorton, VA
National Provider Identifier
1992730469
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305003310 Issued in VA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Mrs. Mary P Nalls, MPTNPI 1063430650
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20040510001246 DC Part B Supplier - Clinic/Group Practice 3274522784 Receives reassigned benefits from 24 practitioners
Practice locations: Alexandria, VA; Lorton, VA

National Provider Directory

National Provider Directory

Locations

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.

View all 29

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.

Verify at the official NPI Registry.