Individual provider Active NPI

Kyle W Feldman, PT,DPT

  • Physical Therapist
  • Winchester, VA
National Provider Identifier
1154727782
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209133 Issued in VA
Practice address
817 Cedar Creek Grade
Ste 100
Winchester, VA 22601-6460
Phone
(540) 450-8024
Fax
(540) 686-7201
NPI assigned
Nov 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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 2305209133 VA Primary

Addresses

Primary practice location

817 Cedar Creek Grade
Ste 100
Winchester, VA 22601-6460

Mailing address

817 Cedar Creek Grade
Ste 100
Winchester, VA 22601-6460
Phone (540) 450-8024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150115000764 VA Practitioner - Physical Therapist in Private Practice 6103140439 Reassigns benefits to 2 organizations
I20210819002249 DC Practitioner - Physical Therapist in Private Practice 6103140439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1117 Berryville Ave
Winchester, VA 22601-5919
Phone (833) 493-4325

1220 N Fillmore St
Arlington, VA 22201-6503
Phone (833) 493-4352

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305209133VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 13, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 13, 2019 Accepting new patients
Physical Therapy Specialists of Winchester, Inc. CurrentSince Jul 5, 2017 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

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

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

2433 Valley Ave
Ste 103
Winchester, VA 22601
Phone (540) 450-8024

1117 Berryville Ave
Winchester, VA 22601
Phone (540) 450-5190

817 Cedar Creek Grade
Ste 100
Winchester, VA 22601
Phone (540) 450-8024

480 W Jubal Early Dr
Ste 120
Winchester, VA 22601
Phone (540) 303-3732

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kyle.feldman.1@8042.direct.athenahealth.com

Organizations & group practices 4

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": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1154727782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CEDAR CREEK GRADE",
            "address_2": "STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016460",
            "telephone_number": "540-450-8024",
            "fax_number": "540-686-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CEDAR CREEK GRADE",
            "address_2": "STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016460",
            "telephone_number": "540-450-8024",
            "fax_number": "540-686-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "KYLE",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.