Back in Motion Physical Therapy LLC
Organization Active NPI Physical Therapist · Lorton, VA
NPI 1992730469 · NPPES record last updated Jan 5, 2012
Key facts
- NPI
- 1992730469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305003310 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Mary P Nalls, MPT
- Title
- President
- Phone
- (703) 690-2650
Practitioners 29
-
Christine Borris, PT
-
Brauna Carl, PT, DPT
-
Jamie Michelle Drake, DPT
-
Kimberly Guinee, MSPT
-
Julie M Huelsman, DPT
-
Marinel Jacobs, PT
-
Lynn G Josephs, PT
-
Katy June Lyon, DPT
-
Mary P Nalls, PT
-
Esther Reed, PT, DPT
-
Annmarie Simko, PT
-
Nadia Gayle Wahid, PT, DPT, ATC
-
Sara Bell, D.P.T.
-
Emily Maxwell, PT, DPT
-
Madison Anne Pessel, PT, DPT, CSCS
-
Malia Kramolisch, DPT
-
Caitlin M Bohnert, DPT
-
Lisa Pan, PT, DPT
-
Akansha Pandey, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040510001246 | DC | Part B Supplier - Clinic/Group Practice | 3274522784 |
Receives reassigned benefits from 24 practitioners Practice locations: Alexandria, VA; Lorton, VA |
National Provider Directory
Locations
5695 King Centre Dr
Ste 102
Alexandria, VA 22315
Phone (571) 312-6966
6355 Walker Ln
Ste 305
Alexandria, VA 22310
Phone (703) 338-3975
5825 Barclay Dr
Alexandria, VA 22315
Phone (703) 338-3975
5901 Kingstowne Village Pkwy
Ste 301
Alexandria, VA 22315
Phone (703) 924-2650
9015 Silverbrook Rd
Ste 105
Fairfax Station, VA 22039
Phone (703) 338-3975
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 2305003310 | VA | Yes |
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
Other providers in Lorton, VA
- Assefa Demewoz DDS PLLC
- Assurance Care Transportation
- Margaret Katherine Awad
- Dawit Ayalew
- Rima Bachour
- Sarah Lee Baja
- Carl A Balmir
- Arlette Bamezon
- Darlan Lima Bandeira
- Divya Bansal
All providers in Lorton, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.