Healthcare Provider Details

I. General information

NPI: 1578481909
Provider Name (Legal Business Name): PRIMARY MOTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EAST ST SE
VIENNA VA
22180-0001
US

IV. Provider business mailing address

100 EAST ST SE
VIENNA VA
22180-0001
US

V. Phone/Fax

Practice location:
  • Phone: 703-652-7533
  • Fax:
Mailing address:
  • Phone: 703-652-7533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATALIE FERBER RAKESTRAW
Title or Position: OWNER
Credential: PT, DPT, OCS
Phone: 703-652-7533