Active NPI
Keri Alexa Prince, DPT
- Physical Therapist
- Fishersville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP026250T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT63706 | Other | OR | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.48 of 100
- Quality
- 86.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP026250T | VA | MD | Physical Therapist |
| PT63706 | OR | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Barren Ridge Physical Therapy Limited Partnership | Current | Accepting new patients | |
| Barren Ridge Physical Therapy Limited Partnership | Physical Therapist | Current | 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.
-
- Physical Therapist
- Fishersville, VA
- NPI 1093952905
-
- Durable Medical Equipment & Medical Supplies
- Fishersville, VA
- NPI 1306072608
-
- Physical Therapist
- Woodbridge, VA
- NPI 1548714959
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.