Provider Demographics
NPI:1740361641
Name:BODIES IN MOTION PHYSICAL THERAPY II, LLC
Entity type:Organization
Organization Name:BODIES IN MOTION PHYSICAL THERAPY II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:DOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-230-1760
Mailing Address - Street 1:1760 RESTON PKWY
Mailing Address - Street 2:SUITE 403
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3388
Mailing Address - Country:US
Mailing Address - Phone:703-230-1760
Mailing Address - Fax:703-230-1761
Practice Address - Street 1:1760 RESTON PKWY
Practice Address - Street 2:SUITE 403
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3388
Practice Address - Country:US
Practice Address - Phone:703-230-1760
Practice Address - Fax:703-230-1761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1779298OtherAETNA HMO
VA9573143OtherAETNA PPO
VAG02478OtherMEDICARE PTAN
VA249890OtherANTHEM
VA7060OtherCAREFIRST BCBS
VAG02478OtherMEDICARE PTAN