MEDICARE: MOVEMENT BEYOND PHYSICAL THERAPY SOLUTIONS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1417307117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVEMENT BEYOND PHYSICAL THERAPY SOLUTIONS, PC

Provider Business Mailing Address
First Line	:	7010 LITTLE RIVER TPKE STE 335
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-3249
Country	:	US
Telephone Number	:	703-827-3488
Fax Number	:	571-526-5522

Provider Business Practice Location Address
First Line	:	7010 LITTLE RIVER TPKE STE 335
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-3249
Country	:	US
Telephone Number	:	703-827-3488
Fax Number	:	571-526-5522

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JIHUN KWAK
Credential	:	DPT, L.AC.
Telephone Number	:	703-827-3488

Provider Enumeration Date	:	06/14/2016
Last Update Date	:	07/23/2025

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