Active NPI
Kathleen Cardelia
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1033465828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207559
- Practice address
- 818 Newtown Rd
Virginia Beach, VA 23462-1116 - Phone
- (757) 473-8016
- Fax
- (757) 473-3580
- NPI assigned
- Jul 30, 2012
- 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 | 2305207559 | VA | Primary |
Addresses
Primary practice location
818 Newtown Rd
Virginia Beach, VA 23462-1116
Mailing address
3965 Ocean Hills CT
Virginia Beach, VA 23451-2631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1033465828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 OCEAN HILLS CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234512631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 NEWTOWN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621116",
"telephone_number": "757-473-8016",
"fax_number": "757-473-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDELIA",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.