Healthcare Provider Details

I. General information

NPI: 1548106495
Provider Name (Legal Business Name): NY MOVE MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7940 JONES BRANCH DR FL 6
TYSONS VA
22102-3387
US

IV. Provider business mailing address

7940 JONES BRANCH DR FL 6
TYSONS VA
22102-3387
US

V. Phone/Fax

Practice location:
  • Phone: 888-514-7220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: RACHEL COEL
Title or Position: OWNER
Credential: MD, PHD
Phone: 888-514-7220