Individual provider Active NPI

Kevin Teng, DPT

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1407417660
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212881 Issued in VA
Practice address
5663 Columbia Pike
Falls Church, VA 22041
Phone
(240) 449-5623
NPI assigned
Jun 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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 2305212881 VA Primary

Addresses

Primary practice location

5663 Columbia Pike
Falls Church, VA 22041

Mailing address

21475 Ridgetop Cir Ste 260
Sterling, VA 20166-8580
Phone (703) 433-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200419000210 DC Practitioner - Physical Therapist in Private Practice 2365872363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respire Physical Therapy LLCGroup PAC ID 1456781459, 5 clinicians

Practice addresses (Care Compare)

5663 Columbia Pike
Falls Church, VA 22041-2868
Phone (703) 671-1871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212881VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Respire Physical Therapy LLC Physical Therapist CurrentSince Jan 2, 2020 Accepting new patients
Arthritis & Sports Orthopaedics PC Physical Therapist Past Accepting new patients

Locations

5017D Backlick Rd
Annandale, VA 22003
Phone (571) 369-6728

5663 Columbia Pike
Falls Church, VA 22041
Phone (703) 671-1871

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1407417660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR STE 260",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668580",
            "telephone_number": "703-433-2500",
            "fax_number": "703-433-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5663 COLUMBIA PIKE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22041",
            "telephone_number": "240-449-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENG",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.