MEDICARE: PHYSIOSYNERGY

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1922875798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOSYNERGY

Provider Business Mailing Address
First Line	:	5300 COLUMBIA PIKE APT 111
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-3118
Country	:	US
Telephone Number	:	240-641-2552
Fax Number	:

Provider Business Practice Location Address
First Line	:	5300 COLUMBIA PIKE APT 111
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-3118
Country	:	US
Telephone Number	:	240-641-2552
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	NHELLYANHA JOSEPHINA HERNANDEZ SEIJAS
Credential	:
Telephone Number	:	240-641-2552

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	12/11/2023

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