Individual provider Active NPI

Ashlee Kim, DPT

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1235641259
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211408 Issued in VA
Practice address
80 E. Jefferson St #200
Falls Church, VA 22046-3568
Phone
(703) 237-2000
Fax
(703) 237-2155
NPI assigned
Oct 31, 2017
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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 2305211408 VA Primary

Addresses

Primary practice location

80 E. Jefferson St #200
Falls Church, VA 22046-3568

Mailing address

80 E. Jefferson St #200
Falls Church, VA 22046-3568
Phone (703) 237-2000

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305211408VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primus Physical Therapy Fairfax Physical Therapist CurrentSince Nov 17, 2019 Accepting new patients

Locations

6101 Redwood Square Ctr
Ste 202
Centreville, VA 20121
Phone (703) 543-6660

Organizations & group practices 1

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1235641259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E. JEFFERSON ST #200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463568",
            "telephone_number": "703-237-2000",
            "fax_number": "703-237-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E. JEFFERSON ST #200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463568",
            "telephone_number": "703-237-2000",
            "fax_number": "703-237-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ASHLEE",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.