IDEAL BODY WELLNESS (NPI# 1639515331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639515331 |
| Entity Type | Organization |
| Organization Name | IDEAL BODY WELLNESS |
| Practice Address |
8206 Leesburg Pike Ste 302 Vienna VA 22182-2614 |
| Mailing Address |
10348 Brittenford Dr Vienna VA 22182-1860 |
| Practice Telephone | 7038566803 |
| Mailing Telephone | 7038566803 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | MR. MICHAEL A MAHONEY (CEO) |
| Authorized Official Telephone | 7038566803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
8206 LEESBURG PIKE STE 302 |
| City | VIENNA |
| State | VA |
| Zip Code | 22182-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144841750 | Mia Theresa Isaac-mercer | Nutritionist | 311 Ridgeview Dr, Newport News, VA 23608-1290 | 2020-05-05 |
| 1174081228 | Tamara Hoerner | Nutritionist | 8763 Cold Plain Ct, Springfield, VA 22153-2424 | 2019-03-07 |
| 1194298125 | Stephanie Buck | Nutritionist | 13119 Mercury Ln, Fairfax, VA 22033-3712 | 2019-01-02 |
| 1477056489 | Kenda Sutton-el | Nutritionist | 13805 Village Mill Dr Ste 201, Midlothian, VA 23114-4304 | 2018-03-15 |
| 1205337102 | Angela Tavolacci | Nutritionist | 5914 Westchester St, Alexandria, VA 22310-1139 | 2018-02-26 |
| 1134646029 | Alice M Freeman | Nutritionist | 705 Twinridge Ln Ste 6, North Chesterfield, VA 23235-5270 | 2017-08-23 |
| 1093175663 | Firstcare Flu & Wellness, LLC | Nutritionist | 1751 Pinnacle Dr, Suite 600, Mc Lean, VA 22102-4903 | 2016-02-25 |
| 1730562497 | Theresa Rosenthal | Nutritionist | 33 Sugarcamp Ln, Stuarts Draft, VA 24477-2916 | 2015-06-30 |
| 1063819951 | Mita Shah Bhagat | Nutritionist | 13175 Fox Hunt Ln, 163, Herndon, VA 20171-5389 | 2014-11-20 |
| 1326279100 | Marlena Padron Reese | Nutritionist | 916 Enon Ct, Virginia Beach, VA 23454-6734 | 2009-07-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IDEAL BODY WELLNESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.