Active NPI
Vidhya Kannan
- Physical Therapist
- Ashburn, VA
National Provider Identifier
1417071598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205198
- Practice address
- 21785 Filigree CT
#103
Ashburn, VA 20147-6213 - Phone
- (703) 444-5447
- Fax
- (703) 444-5484
- NPI assigned
- Mar 16, 2007
- Last updated
- Oct 10, 2008
- Sex
- Female
- 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 | 2305205198 | VA | Primary |
Addresses
Primary practice location
21785 Filigree CT
#103
Ashburn, VA 20147-6213
Mailing address
21785 Filigree CT
#103
Ashburn, VA 20147-6213
Phone (703) 444-5447
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305205198 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1417071598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21785 FILIGREE CT",
"address_2": "#103",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476213",
"telephone_number": "703-444-5447",
"fax_number": "703-444-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21785 FILIGREE CT",
"address_2": "#103",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476213",
"telephone_number": "703-444-5447",
"fax_number": "703-444-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNAN",
"first_name": "VIDHYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Ashburn Medical Center Pharmacy)
- Kaiser Permanente Ashburn Med Ctr
- Huma Zalanda Kakar, DDS
- Tara Kamenski, PHARMD
- Shweta Shireesh Kanekar
- Harika Kantamneni, D.O.
- Richard Kuang-Hua Kao, O.D.
- Kathryn Karasinski, RN
- Soraya Kardan
- Karen Kingsley, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.