Active NPI
Ken Herbel, MPT
- Physical Therapist
- Lorton, VA
National Provider Identifier
1386620599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204495
- Practice address
- 8986 Lorton Station Blvd
Suite 202
Lorton, VA 22079-4753 - Phone
- (703) 546-0013
- Fax
- (703) 546-0014
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204495 | VA | Primary |
Addresses
Primary practice location
8986 Lorton Station Blvd
Suite 202
Lorton, VA 22079-4753
Mailing address
PO Box 1769
Middleburg, VA 20118-1769
Phone (540) 687-8181
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holtby & Bonack PTR | Past | Accepting new patients | |
| Physio Pro, Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Colorado Springs, CO
- NPI 1790821403
-
- Physical Therapist
- Denver, CO
- NPI 1710185830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358035200000",
"number": "1386620599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1769",
"city": "MIDDLEBURG",
"state": "VA",
"postal_code": "201181769",
"telephone_number": "540-687-8181",
"fax_number": "540-687-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8986 LORTON STATION BLVD",
"address_2": "SUITE 202",
"city": "LORTON",
"state": "VA",
"postal_code": "220794753",
"telephone_number": "703-546-0013",
"fax_number": "703-546-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBEL",
"first_name": "KEN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2013-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204495",
"primary": true
}
],
"identifiers": [],
"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 Jan 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.