Individual provider Active NPI

Barbara Kerkoff Semple, P.T.

  • Physical Therapist
  • Lorton, VA
National Provider Identifier
1336293083
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210126 Issued in VA
Practice address
8986 Lorton Station Blvd
Ste 202
Lorton, VA 22079-4753
Phone
(703) 546-0013
Fax
(703) 546-0014
NPI assigned
Jan 22, 2007
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15580 MD
Physical Therapist 225100000X 2305210126 VA Primary

Addresses

Primary practice location

8986 Lorton Station Blvd
Ste 202
Lorton, VA 22079-4753

Mailing address

8986 Lorton Station Blvd
Ste 202
Lorton, VA 22079-4753
Phone (703) 546-0013

Other identifiers 3

IdentifierTypeStateIssuer
LK24ATOtherMDCF BLUE CROSS BLUE SHIELD
S9860008OtherDCCF BLUE CROSS BLUE SHIELD
338063OtherMDMAMSI LIFE MD IPA

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
15580MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Aug 16, 2016 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Aug 16, 2016 Accepting new patients

Locations

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

8986 Lorton Station Blvd
Ste 202
Lorton, VA 22079
Phone (571) 380-4770

8140 Ashton Ave
Ste 104
Manassas, VA 20109
Phone (703) 257-3333

8250 Greensboro Dr
McLean, VA 22102
Phone (703) 388-0288

Organizations & group practices 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1336293083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8986 LORTON STATION BLVD",
            "address_2": "STE 202",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794753",
            "telephone_number": "703-546-0013",
            "fax_number": "703-546-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8986 LORTON STATION BLVD",
            "address_2": "STE 202",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794753",
            "telephone_number": "703-546-0013",
            "fax_number": "703-546-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMPLE",
        "first_name": "BARBARA",
        "middle_name": "KERKOFF",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15580",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CF BLUE CROSS BLUE SHIELD",
            "identifier": "LK24AT",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CF BLUE CROSS BLUE SHIELD",
            "identifier": "S9860008",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE MD IPA",
            "identifier": "338063",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.