Individual provider Active NPI

Kira H Sullivan, PT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1104853381
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT87065 Issued in DC
Practice address
1001 Connecticut Ave NW Ste 330
Washington, DC 20036-5591
Phone
(202) 223-8500
Fax
(202) 223-8300
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 PT87065 DC Primary

Addresses

Primary practice location

1001 Connecticut Ave NW Ste 330
Washington, DC 20036-5591

Mailing address

1001 Connecticut Ave NW Ste 330
Washington, DC 20036-5591
Phone (202) 223-8500

Other practice location 1

1850 M St NW
Suite #750
Washington, DC 20036-5803
Phone (202) 835-2222 ext. 141

Other names 1

  • Kira H Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060713000075 DC Practitioner - Physical Therapist in Private Practice 8325051444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

1001 Connecticut Ave NW
330 Orthopaedic Medicine and Surgery
Washington, DC 20036-5591
Phone (202) 223-8500

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT87065DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Nov 22, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Nov 22, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Office of Orthopaedic Medicine and Surgery PC Past Accepting new patients
Alliance Rehabilitation, LLC Physical Therapist Past Accepting new patients

Locations

1850 M St NW
Ste 750
Washington, DC 20036
Phone (202) 835-2222

1001 Connecticut Ave NW
Ste 330
Washington, DC 20036
Phone (202) 223-8500

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Organizations & group practices 6

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1104853381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONNECTICUT AVE NW STE 330",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365591",
            "telephone_number": "202-223-8500",
            "fax_number": "202-223-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CONNECTICUT AVE NW STE 330",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365591",
            "telephone_number": "202-223-8500",
            "fax_number": "202-223-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 M St NW",
            "address_2": "SUITE #750",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200365803",
            "country_code": "US",
            "telephone_number": "202-835-2222 x141",
            "fax_number": "202-969-1798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KIRA",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT87065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRA",
            "last_name": "DAVIS",
            "middle_name": "H",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.

Verify at the official NPI Registry.