NPIMap

Organization Active NPI

Advanced Kinetics Physical Therapy

  • Physical Therapy Clinic/Center
  • Falls Church, VA
National Provider Identifier
1346631116
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2305203526 Issued in VA
Legal business name
ADVANCED KINETICS PHYSICAL THERAPY
Practice address
510 W Annandale Rd
Suite 202
Falls Church, VA 22046-4226
Phone
(703) 988-4664
Fax
(571) 295-7548
NPI assigned
Feb 13, 2015
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Mrs. Angela T Gordon, PT
Title
Owner, Physical Therapist
Phone
(703) 988-4664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2305203526 VA Primary

Addresses

Primary practice location

510 W Annandale Rd
Suite 202
Falls Church, VA 22046-4226

Mailing address

510 W Annandale Rd
Suite 202
Falls Church, VA 22046-4226
Phone (703) 988-4664

National Provider Directory

National Provider Directory

Locations

510 W Annandale Rd
Ste 202
Falls Church, VA 22046
Phone 7039884664 ext. 1

1760 Old Meadow Rd
Ste 200
Mc Lean, VA 22102
Phone (703) 988-4664

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1346631116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W ANNANDALE RD",
            "address_2": "SUITE 202",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464226",
            "telephone_number": "703-988-4664",
            "fax_number": "571-295-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W ANNANDALE RD",
            "address_2": "SUITE 202",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464226",
            "telephone_number": "703-988-4664",
            "fax_number": "571-295-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED KINETICS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-988-4664",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305203526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.