Individual provider Active NPI

Kenneth McConnaughey, DPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1275765901
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT871660 Issued in VA
Practice address
1015 18TH St NW Ste 400
Washington, DC 20036-5209
Phone
(202) 827-8317
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 PT871660 VA Primary

Addresses

Primary practice location

1015 18TH St NW Ste 400
Washington, DC 20036-5209

Mailing address

1015 18TH St NW Ste 400
Washington, DC 20036-5209
Phone (202) 827-8317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000663 DC Practitioner - Physical Therapist in Private Practice 3173669900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Brody School of Medicine at East Carolina University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1015 18TH St NW
Washington, DC 20036-5217

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT871660VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 1, 2014 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 1, 2014 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Professional Sportscare & Rehab Associates, LLC Physical Therapist Past Accepting new patients

Locations

1850 M St NW
Ste 750
Washington, DC 20036
Phone (202) 835-2222

1015 18th St NW
Ste 300
Washington, DC 20036
Phone (202) 835-2222

1015 18th St NW
Ste 400
Washington, DC 20036
Phone (202) 827-8317

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1275765901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 18TH ST NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365209",
            "telephone_number": "202-827-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 18TH ST NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365209",
            "telephone_number": "202-827-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNAUGHEY",
        "first_name": "KENNETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "PT871660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.