Provider Demographics
NPI:1740596709
Name:BODYWORK PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:BODYWORK PHYSICAL THERAPY PLLC
Other - Org Name:BODY@WORK PHYSICAL THERAPY, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:SWARTZ
Authorized Official - Last Name:GUYNES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:703-829-3456
Mailing Address - Street 1:5308 RIDLEY CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-4758
Mailing Address - Country:US
Mailing Address - Phone:703-829-3456
Mailing Address - Fax:
Practice Address - Street 1:5308 RIDLEY CT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-4758
Practice Address - Country:US
Practice Address - Phone:703-829-3456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202541225100000X
DCPT870520225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty