Individual provider Active NPI

Kathleen Elizabeth Dawson, DPT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1043870652
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212748 Issued in VA
Practice address
9860 Fairfax Blvd Ste 1
Fairfax, VA 22030-1702
Phone
(703) 383-1616
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305212748 VA Primary

Addresses

Primary practice location

9860 Fairfax Blvd Ste 1
Fairfax, VA 22030-1702

Mailing address

9860 Fairfax Blvd Ste 1
Fairfax, VA 22030-1702
Phone (703) 383-1616

Other practice location 1

115 Park St SE
Vienna, VA 22180-4653
Phone (703) 255-9100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kathleen@excelrehabva.com
Direct Messaging Address kdawson711748@soc.inova.org Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
2305212748VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jun 12, 2019 Accepting new patients
Inova Physician Partners, LLC CurrentSince Jun 25, 2020 Accepting new patients
Excel Rehabilitation, PLLC CurrentSince Aug 31, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 12, 2019 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

9860 Fairfax Blvd
Ste 1
Fairfax, VA 22030
Phone (703) 383-1616

10521 Rosehaven St
Ste LL150
Fairfax, VA 22030
Phone (703) 383-1616

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

115 Park St SE
Vienna, VA 22180
Phone (702) 255-9100

115 Park St SE
Ste 205
Vienna, VA 22180
Phone (703) 255-9100

Organizations & group practices 5

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1043870652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 FAIRFAX BLVD STE 1",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301702",
            "telephone_number": "703-383-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 FAIRFAX BLVD STE 1",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301702",
            "telephone_number": "703-383-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Park St SE",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221804653",
            "country_code": "US",
            "telephone_number": "703-255-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen@excelrehabva.com",
            "affiliation": "Y",
            "address_1": "9860 Fairfax Blvd",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220301701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdawson711748@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "115 Park St SE Ste 205",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221804653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.