Provider Demographics
NPI:1518492271
Name:HEALING WORKS LIMITED LIABILITY
Entity Type:Organization
Organization Name:HEALING WORKS LIMITED LIABILITY
Other - Org Name:HEALING WORKS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:703-525-1407
Mailing Address - Street 1:512 N OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-2225
Mailing Address - Country:US
Mailing Address - Phone:703-525-1407
Mailing Address - Fax:703-525-1407
Practice Address - Street 1:512 N OXFORD ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-2225
Practice Address - Country:US
Practice Address - Phone:703-525-1407
Practice Address - Fax:703-525-1407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT2454225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty