Individual provider Active NPI

Krutika Lakhani, PT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1144715277
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212960 Issued in VA
Practice address
4445 Corporation LN Ste 264
Virginia Beach, VA 23462-3262
Phone
(571) 774-6378
NPI assigned
Jul 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26778 MD
Physical Therapist 225100000X 2305212960 VA Primary

Addresses

Primary practice location

4445 Corporation LN Ste 264
Virginia Beach, VA 23462-3262

Mailing address

4410 Brookfield Corporate Dr PO Box # 222092
Chantilly, VA 20153-3673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181129000072 DC Practitioner - Physical Therapist in Private Practice 9537403753 Reassigns benefits to 2 organizations
I20211108000649 VA Practitioner - Physical Therapist in Private Practice 9537403753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Prime Physical Therapy PLLCGroup PAC ID 2062865389, 2 clinicians

Practice addresses (Care Compare)

13995 Metrotech Dr
Chantilly, VA 20151-3240
Phone (571) 774-6378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212960VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 29, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist CurrentSince Jun 29, 2021 Accepting new patients
Centers for Advanced Orthopaedics LLC Current Accepting new patients
Nova Prime Physical Therapy PLLC Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 29, 2021 Accepting new patients

Locations

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

4410 Brookfield Corporate Dr
Unit 222092
Chantilly, VA 20153

13995 Metrotech Dr
Chantilly, VA 20151
Phone (571) 774-6378

8525 Rolling Rd
Ste 300
Manassas, VA 20110
Phone 7033931667204

4445 Corporation Ln
Ste 264
Virginia Beach, VA 23462
Phone (561) 556-2656

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

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": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1144715277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 BROOKFIELD CORPORATE DR PO BOX # 222092",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201533673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN STE 264",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623262",
            "telephone_number": "571-774-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKHANI",
        "first_name": "KRUTIKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-01",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26778",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212960",
            "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 Dec 26, 2022; 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.