Individual provider Active NPI

Keiron A Holmes, DPT, PT

  • Orthopedic Physical Therapist
  • Quantico, VA
National Provider Identifier
1255589529
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305205379 Issued in VA
Practice address
2189 Elrod Ave
Quantico, VA 22134-5113
Phone
(703) 784-3205
NPI assigned
Aug 28, 2008
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305205379 VA Primary

Addresses

Primary practice location

2189 Elrod Ave
Quantico, VA 22134-5113

Mailing address

2189 Elrod Ave Ste 11
Quantico, VA 22134-5113
Phone (703) 784-3205

Other practice location 1

3801 Fairfax Dr
suite 11
Arlington, VA 22203-1762
Phone (703) 522-1060

Other practice location 2

14605 Potomac Branch Dr Ste 300
Woodbridge, VA 22191-3337
Phone (703) 490-1112

Other practice location 3

1515 Chain Bridge Rd Ste 202
Mc Lean, VA 22101-4421
Phone (703) 490-1112

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
2305205379VAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Past Accepting new patients

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1255589529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 ELROD AVE STE 11",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345113",
            "telephone_number": "703-784-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 ELROD AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345113",
            "telephone_number": "703-784-3205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Fairfax Dr",
            "address_2": "suite 11",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031762",
            "country_code": "US",
            "telephone_number": "703-522-1060",
            "fax_number": "703-522-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14605 Potomac Branch Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913337",
            "country_code": "US",
            "telephone_number": "703-490-1112",
            "fax_number": "703-878-8735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Chain Bridge Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221014421",
            "country_code": "US",
            "telephone_number": "703-490-1112",
            "fax_number": "703-878-8735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KEIRON",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305205379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quantico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.