Individual provider Active NPI

Kirsten Attipoe

  • Physical Therapist
  • Callao, VA
National Provider Identifier
1396281283
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210588 Issued in VA
Practice address
765 Northumberland Hwy
Callao, VA 22435-2206
Phone
(804) 529-5178
NPI assigned
Jan 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305210588 VA Primary

Addresses

Primary practice location

765 Northumberland Hwy
Callao, VA 22435-2206

Mailing address

722 W Ocean Dr
Boynton Beach, FL 33426-4379
Phone (919) 521-0584

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
2305210588VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Get Balanced 4 Life Past Accepting new patients
Abilities Abound Physical Therapy and Wellness Center PLLC Physical Therapist PastSince Jan 1, 2014 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.

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1396281283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W OCEAN DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334264379",
            "telephone_number": "919-521-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NORTHUMBERLAND HWY",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224352206",
            "telephone_number": "804-529-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIPOE",
        "first_name": "KIRSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callao, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.