Active NPI
Keiron A Holmes, DPT, PT
- Orthopedic Physical Therapist
- Quantico, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305205379
- Practice address
- 2189 Elrod Ave
Quantico, VA 22134-5113 - Phone
- (703) 784-3205
- NPI assigned
- Aug 28, 2008
- Last updated
- Mar 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305205379 | VA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Orthopaedic Surgery Physician
- McLean, VA
- NPI 1326462144
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.