Provider Demographics
NPI: | 1821978727 |
---|---|
Name: | FRIENDS PHYSICAL THERAPY AND WELLNESS, LLC |
Entity type: | Organization |
Organization Name: | FRIENDS PHYSICAL THERAPY AND WELLNESS, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | HONGYING |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CHEN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 703-980-3989 |
Mailing Address - Street 1: | 12507 CHARLES STEWART CT |
Mailing Address - Street 2: | |
Mailing Address - City: | FAIRFAX |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 22033-2411 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 703-980-3989 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 12507 CHARLES STEWART CT |
Practice Address - Street 2: | |
Practice Address - City: | FAIRFAX |
Practice Address - State: | VA |
Practice Address - Zip Code: | 22033-2411 |
Practice Address - Country: | US |
Practice Address - Phone: | 703-980-3989 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-09-03 |
Last Update Date: | 2025-09-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty |