Individual provider Active NPI

Kevin Viken, PT, DPT

  • Physical Therapist
  • Mechanicsville, VA
National Provider Identifier
1154862985
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210535 Issued in VA
Practice address
6400 Mechanicsville Tpke
Mechanicsville, VA 23111-4579
Phone
(804) 789-8829
NPI assigned
Mar 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 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 2072 ND
Physical Therapist 225100000X 2305210535 VA Primary

Addresses

Primary practice location

6400 Mechanicsville Tpke
Mechanicsville, VA 23111-4579

Mailing address

6400 Mechanicsville Tpke Ste a
Mechanicsville, VA 23111-4579
Phone (804) 789-8290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119003034 VA Practitioner - Physical Therapist in Private Practice 3779869466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Jan 4, 2023 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Jan 4, 2023 Accepting new patients
Alliance Rehabilitation, LLC Physical Therapist CurrentSince Apr 3, 2022 Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients
Alliance Rehabilitation, LLC Physical Therapist PastSince Apr 3, 2022 Accepting new patients
Advanced Work Rehab Center, LLC Physical Therapist PastSince Mar 20, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

26106 Lee Hwy
Abingdon, VA 24211
Phone (276) 623-0274

5348 Wyndham Forest Dr
Glen Allen, VA 23059
Phone (804) 533-0090

6400 Mechanicsville Tpke
Ste A
Mechanicsville, VA 23111
Phone (804) 789-8829

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": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1154862985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 MECHANICSVILLE TPKE STE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114579",
            "telephone_number": "804-789-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MECHANICSVILLE TPKE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114579",
            "telephone_number": "804-789-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIKEN",
        "first_name": "KEVIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2072",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.