Kelly A. Biagini, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010347 Issued in CT

Practice address

5400 Shawnee Rd
Ste 104
Alexandria, VA 22312-2300

Phone

(703) 256-4830

NPI assigned

Oct 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly A. Sullivan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1396055810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 866308",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750866308",
            "telephone_number": "800-793-5464",
            "fax_number": "267-321-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 SHAWNEE RD",
            "address_2": "STE 104",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122300",
            "telephone_number": "703-256-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIAGINI",
        "first_name": "KELLY",
        "middle_name": "A.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206636",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SULLIVAN",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mishel Bhatti
• Rohat Bhagwan Bhimani, MD
• Minal Bhojani, M.D.
• BHS Services LLC
• Najiya Bhura
• Chloe Rose Bickel
• Brad Bickford, MSW
• Susan E Bienert, M.D.
• Hilary Shannon Biesecker, C.N.M.
• Stephen Douglas Bigach II, MD

• Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.