Active NPI
Kimberly A. Horton, P.T.
- Physical Therapist
- Ashburn, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203754
- Practice address
- 44927 George Washington Blvd
Suite 210
Ashburn, VA 20147-4295 - Phone
- (571) 291-9936
- Fax
- (571) 918-4935
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305203754 | VA | Primary |
Addresses
Primary practice location
44927 George Washington Blvd
Suite 210
Ashburn, VA 20147-4295
Mailing address
44927 George Washington Blvd
Suite 210
Ashburn, VA 20147-4295
Phone (571) 291-9936
Other names 1
- Ms. Kimberly A. Rocque
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44927 George Washington Blvd
Suite 210
Ashburn, VA 20147-4292
Phone (571) 291-9936
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305203754 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore PT & Wellness | Physical Therapist | Current | Accepting new patients |
Locations
44927 George Washington Blvd
Ashburn, VA 20147
Phone (571) 291-9936
44927 George Washington Blvd
Ste 210
Ashburn, VA 20147
Phone (571) 291-9936
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1033265087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44927 GEORGE WASHINGTON BLVD",
"address_2": "SUITE 210",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201474295",
"telephone_number": "571-291-9936",
"fax_number": "571-918-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44927 GEORGE WASHINGTON BLVD",
"address_2": "SUITE 210",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201474295",
"telephone_number": "571-291-9936",
"fax_number": "571-918-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "KIMBERLY",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "ROCQUE",
"middle_name": "A.",
"prefix": "MS.",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.