Individual provider Active NPI

Kevin Bruce Ford, DPT

  • Orthopedic Physical Therapist
  • Midlothian, VA
National Provider Identifier
1063697522
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305203859 Issued in VA
Practice address
5001 W Village Green Dr
Suite 203
Midlothian, VA 23112-4801
Phone
(804) 249-8277
Fax
(804) 249-9690
NPI assigned
Jan 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305203859 VA Primary

Addresses

Primary practice location

5001 W Village Green Dr
Suite 203
Midlothian, VA 23112-4801

Mailing address

5001 W Village Green Dr
Suite 203
Midlothian, VA 23112-4801
Phone (804) 249-8277

Other practice location 1

7035 Saint Andrews Rd Ste 203
Columbia, SC 29212-1177
Phone (803) 749-6759

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kford69361@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8437SCMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1063697522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 W VILLAGE GREEN DR",
            "address_2": "SUITE 203",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124801",
            "telephone_number": "804-249-8277",
            "fax_number": "804-249-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W VILLAGE GREEN DR",
            "address_2": "SUITE 203",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124801",
            "telephone_number": "804-249-8277",
            "fax_number": "804-249-9690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7035 Saint Andrews Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-749-6759",
            "fax_number": "803-791-2713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "KEVIN",
        "middle_name": "BRUCE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-03",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305203859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kford69361@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "7035 Saint Andrews Rd Ste 203",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292121177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.