Caitlin A. King, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211598 Issued in VA

Practice address

8250 Greensboro Dr
MC Lean, VA 22102-4902

Phone

(703) 388-0288

NPI assigned

Dec 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Jackson Clinics LLC

  • Physical Therapist
  • Middleburg, VA
  • NPI 1427034982
  NPD (past)

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1174067953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654288",
            "telephone_number": "706-235-2727",
            "fax_number": "706-235-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024902",
            "telephone_number": "703-388-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CAITLIN",
        "middle_name": "A.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012696",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT012696",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jung Ja Kim, M.D.
• Richard K Kim, M.D.
• Wilson Kim, DDS
• Kimberly M. Brooks LPC PLLC
• Patricia Kindred, CRNA
• Callie King, LPC
• Susan Kinkead-Acree, MD
• Matthew Carnochan Kinney, M.D.
• Samuel Kinney, DPT
• Amanda Kirby, DPT

• Physical Therapist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.