Individual provider Active NPI

Katherine Lincoln Parker, MSPT, PCS

  • Pediatric Physical Therapist
  • Arlington, VA
National Provider Identifier
1356567382
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2305003368 Issued in VA
Practice address
4849 A South 28TH Street
Arlington, VA 22206-1365
Phone
(703) 931-7674
Fax
(703) 931-7674
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT2074 DC
Pediatric Physical Therapist 2251P0200X 2305003368 VA Primary
Pediatric Physical Therapist 2251P0200X 16289 MD

Addresses

Primary practice location

4849 A South 28TH Street
Arlington, VA 22206-1365

Mailing address

4849 A South 28TH Street
Arlington, VA 22206-1365
Phone (703) 931-7674

Other identifiers 1

IdentifierTypeStateIssuer
S3800001OtherBCBS ID NUMBER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT2074DCMDPediatric Physical Therapist
16289MDMDPediatric Physical Therapist
2305003368VAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals DC MD VA Past Accepting new patients

Organizations & group practices 1

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356567382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 A SOUTH 28TH STREET",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061365",
            "telephone_number": "703-931-7674",
            "fax_number": "703-931-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 A SOUTH 28TH STREET",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061365",
            "telephone_number": "703-931-7674",
            "fax_number": "703-931-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KATHERINE",
        "middle_name": "LINCOLN",
        "credential": "MSPT, PCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "DC",
            "license": "PT2074",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305003368",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "16289",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "S3800001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.