Active NPI
Barbara Kerkoff Semple, P.T.
- Physical Therapist
- Lorton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210126
- 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, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LK24AT | Other | MD | CF BLUE CROSS BLUE SHIELD |
| S9860008 | Other | DC | CF BLUE CROSS BLUE SHIELD |
| 338063 | Other | MD | MAMSI 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15580 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinics Limited Partnership | Physical Therapist | Current | Accepting new patients |
| The Jackson Clinics LLC | Physical Therapist | Past | 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.
-
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- Centreville, VA
- NPI 1639594831
-
- Physical Therapist
- Middleburg, VA
- NPI 1427034982
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.