Active NPI
Katherine Lincoln Parker, MSPT, PCS
- Pediatric Physical Therapist
- Arlington, VA
National Provider Identifier
1356567382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2305003368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S3800001 | Other | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT2074 | DC | MD | Pediatric Physical Therapist |
| 16289 | MD | MD | Pediatric Physical Therapist |
| 2305003368 | VA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Washington, DC
- NPI 1679588156
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.