Shruti Kishorbhai Kotak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305210053 Issued in VA

Practice address

8609 Sudley Rd Ste 102
Manassas, VA 20110-4500

Phone

(703) 366-3626

NPI assigned

Apr 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.85 of 100Reported as group

Quality

90.74

Promoting interoperability

100

Improvement activities

40

Cost

78.74

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Orthovirginia Inc.

  • Multi-Specialty Clinic/Center
  • Fairfax, VA
  • NPI 1588066740

  DC

  Medicare reassignment Care Compare group NPD
• Orthovirginia Inc.

  • Multi-Specialty Clinic/Center
  • Fairfax, VA
  • NPI 1790390789

  Physical Therapist

  NPD
• Orthovirginia, Inc

  • Physical Medicine & Rehabilitation Physician
  • Arlington, VA
  • NPI 1376411413
  NPD
• Alliance Rehab and Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1568840957
  NPD (past)
• Alliance Rehabilitation, LLC

  • Physical Therapist
  • Herndon, VA
  • NPI 1770799041
  NPD (past)
• Hand Therapy Experts, LLC

  • Occupational Therapist
  • Burke, VA
  • NPI 1366860280
  NPD (past)

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1447517966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 LYNGATE CT STE 203",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151673",
            "telephone_number": "703-239-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD STE 102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104500",
            "telephone_number": "703-366-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTAK",
        "first_name": "SHRUTI",
        "middle_name": "KISHORBHAI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Marie Koleny, OTR/L
• Ann L Komelasky, CRNP
• Christine S Kopp, SLP
• Rochelle Koroma
• Julie Korona
• Anna Brawley Kovalich, CCC-SLP
• Maria Kowals
• Katherine Kraft, MA
• Sharon Kramer
• Carolyn S. Kramp, MA, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.