Individual provider Active NPI

Keri Alexa Prince, DPT

  • Physical Therapist
  • Fishersville, VA
National Provider Identifier
1184233231
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP026250T Issued in VA
Practice address
32 Windward Dr Ste 110
Fishersville, VA 22939-2174
Phone
(540) 949-5383
Fax
(540) 949-5493
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT63706 OR
Orthopedic Physical Therapist 2251X0800X PT63706 OR
Physical Therapist 225100000X CP026250T VA Primary

Addresses

Primary practice location

32 Windward Dr Ste 110
Fishersville, VA 22939-2174

Mailing address

32 Windward Dr Ste 110
Fishersville, VA 22939-2174
Phone (540) 949-5383

Other practice location 1

11782 SW Barnes Rd Ste 100
Portland, OR 97225-5931
Phone (503) 906-4323 ext. 4323

Other practice location 2

14795 SW Murray Scholls Dr Ste 109
Beaverton, OR 97007-9230
Phone (503) 906-4301

Other identifiers 1

IdentifierTypeStateIssuer
PT63706OtherORPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP026250TVAMDPhysical Therapist
PT63706ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
Barren Ridge Physical Therapy Limited Partnership CurrentSince Feb 14, 2024 Accepting new patients
Barren Ridge Physical Therapy Limited Partnership Physical Therapist CurrentSince Feb 14, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

32 Windward Dr
Ste 110
Fishersville, VA 22939
Phone (540) 949-5383

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1184233231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WINDWARD DR STE 110",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392174",
            "telephone_number": "540-949-5383",
            "fax_number": "540-949-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WINDWARD DR STE 110",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392174",
            "telephone_number": "540-949-5383",
            "fax_number": "540-949-5493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11782 SW Barnes Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255931",
            "country_code": "US",
            "telephone_number": "503-906-4323 x4323",
            "fax_number": "503-906-4333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14795 SW Murray Scholls Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970079230",
            "country_code": "US",
            "telephone_number": "503-906-4301",
            "fax_number": "503-906-6613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "KERI",
        "middle_name": "ALEXA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "PT63706",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "PT63706",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP026250T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT63706",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.