Individual provider Active NPI

Noreen Ann O'Kane, PT

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1235168360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305002164 Issued in VA
Practice address
6166 Fuller CT
Alexandria, VA 22310-2540
Phone
(703) 719-6908
Fax
(703) 313-0056
NPI assigned
Jul 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2305002164 VA Primary

Addresses

Primary practice location

6166 Fuller CT
Alexandria, VA 22310-2540

Mailing address

6166 Fuller CT
Alexandria, VA 22310-2540
Phone (703) 719-6908

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221103001455 VA Practitioner - Physical Therapist in Private Practice 1658424700 Reassigns benefits to 2 organizations
I20221129003573 DC Practitioner - Physical Therapist in Private Practice 1658424700 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305002164VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Aug 1, 2022 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Alexandria Sports, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 1, 2022 Accepting new patients
Douglas Avery & Associates, LTD Past Accepting new patients

Locations

6166 Fuller Ct
Alexandria, VA 22310
Phone (703) 719-6908

20925 Professional Plz
Ste 300
Ashburn, VA 20147
Phone (703) 544-7171

9015 Silverbrook Rd
Ste 10
Fairfax Station, VA 22039
Phone (571) 475-0003

8986 Lorton Station Blvd
Ste 202
Lorton, VA 22079
Phone (571) 380-4770

2303 N Augusta St
Ste E
Staunton, VA 24401
Phone (540) 886-4510

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235168360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6166 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102540",
            "telephone_number": "703-719-6908",
            "fax_number": "703-313-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6166 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102540",
            "telephone_number": "703-719-6908",
            "fax_number": "703-313-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KANE",
        "first_name": "NOREEN",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.