Kathryn Gillette

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

43490 Yukon Dr
Ste 212
Ashburn, VA 20147-6990

Phone

(703) 729-7920

NPI assigned

Jul 21, 2015

Last updated

Jul 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• 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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1245615251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43490 YUKON DR",
            "address_2": "STE 212",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476990",
            "telephone_number": "703-729-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43490 YUKON DR",
            "address_2": "STE 212",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476990",
            "telephone_number": "703-729-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2305209599",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giant of Maryland LLC (Giant Pharmacy #791)
• Giant of Maryland LLC (Giant Pharmacy 797)
• Noeris Gil
• Mallory Giles, CPNP-PC
• Jessica Gilleo
• Dawn Russ Gingras, L.P.C., L.M.H.C.
• John Lawrence Gingras, LPC, LMHC
• Gino VC, DDS, PLLC (Dulles Life Smiles)
• Giovanna Morena M.D, P.C.
• Alexis Michel Roger Giraudineau, MS

• Physical Therapist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.