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BODY KINETICS REHAB LLC. NPI 1891706586


NPI Information

NPI: 1891706586
Provider Name: BODY KINETICS REHAB LLC.
Classification: Physical Therapist - 2251N0400X
Entity Type: Organization

Specialization: Neurology

Address:
7617 LITTLE RIVER TPKE
SUITE 110
ANNANDALE, VA
ZIP 22003
Phone: (703) 639-0950
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BODY KINETICS REHAB LLC. is a neurology physical therapist in Annandale, VA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. BODY KINETICS REHAB LLC. NPI is 1891706586. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7617 LITTLE RIVER TPKE
SUITE 110
ANNANDALE, VA
ZIP 22003-643
Phone: (703) 639-0950
Fax: (703) 663-8730

The provider's authorized official is Vibhakar V Karambelkar .
The authorized official title is Director and has the following contact phone number (703) 639-0950.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 6/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicNo
2103K00000XBehavior AnalystNo
32251N0400XPhysical TherapistNeurology2305203286VIRGINIANo
42251P0200XPhysical TherapistPediatrics2305203286VIRGINIANo
52251P0200XPhysical TherapistPediatricsNo
62251S0007XPhysical TherapistSports2305203286VIRGINIANo
72251X0800XPhysical TherapistOrthopedic2305203286VIRGINIANo
8225X00000XOccupational TherapistNo
9235Z00000XSpeech-Language PathologistNo
102251N0400XPhysical TherapistNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11891706586MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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