Active NPI
Kalkidan Getahun, DPT
- Physical Therapist
- Alexandria, VA
National Provider Identifier
1265791404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207288
- Practice address
- 4660 Kenmore Ave
Ste 400
Alexandria, VA 22304-1313 - Phone
- (703) 751-1008
- Fax
- (703) 751-1118
- NPI assigned
- May 9, 2012
- Last updated
- Sep 17, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305207288 | VA | Primary |
Addresses
Primary practice location
4660 Kenmore Ave
Ste 400
Alexandria, VA 22304-1313
Mailing address
5252 Lyngate CT
Ste 203
Burke, VA 22015-1672
Phone (703) 239-2300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2307000965 | Other | VA | DIRECT ACCESS CERTIFICATION |
| K949 - 0053 | Other | VA | CAREFIRST |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Therapy Experts, LLC | Past | Accepting new patients | |
| Alliance Rehab and Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Alliance Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Fairfax, VA
- NPI 1568840957
-
dba Alliance Physical Therapy
- Physical Therapist
- Herndon, VA
- NPI 1770799041
-
- Occupational Therapist
- Burke, VA
- NPI 1366860280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1265791404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 LYNGATE CT",
"address_2": "STE 203",
"city": "BURKE",
"state": "VA",
"postal_code": "220151672",
"telephone_number": "703-239-2300",
"fax_number": "703-239-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "STE 400",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-751-1008",
"fax_number": "703-751-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GETAHUN",
"first_name": "KALKIDAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIRECT ACCESS CERTIFICATION",
"identifier": "2307000965",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "K949 - 0053",
"state": "VA"
}
],
"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 Sep 17, 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.