Individual provider Active NPI

Khamille Turnage, DPT

  • Physical Therapist
  • Capitol Heights, MD
National Provider Identifier
1457027591
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28836 Issued in MD
Practice address
1801 Ritchie Station CT Ste 200
Capitol Heights, MD 20743-5075
Phone
(240) 455-9400
Fax
(240) 455-9401
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13252 CT
Physical Therapist 225100000X 28836 MD Primary

Addresses

Primary practice location

1801 Ritchie Station CT Ste 200
Capitol Heights, MD 20743-5075

Mailing address

47 N Main St
West Hartford, CT 06107-1926
Phone (860) 409-4595

Other practice location 1

46 Prince St Ste 402B
New Haven, CT 06519-1600
Phone (203) 752-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220405002905 DC Practitioner - Physical Therapist in Private Practice 9830595511 Reassigns benefits to 3 organizations
I20221014000191 MD Practitioner - Physical Therapist in Private Practice 9830595511 Reassigns benefits to 1 organization
I20230405002333 TX Practitioner - Physical Therapist in Private Practice 9830595511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

1600 Wilson Blvd
Suite 102
Arlington, VA 22209-2505
Phone (703) 935-1996

1801 Ritchie Station CT
Suite 200
Capitol Heights, MD 20743-5075
Phone (240) 455-9400

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC CurrentSince Mar 27, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 21, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 21, 2022 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 28, 2022 Accepting new patients
Sacred Heart University, Inc Physical Therapist PastSince Aug 28, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

379 E FM 1382
Ste 100
Cedar Hill, TX 75104
Phone (972) 460-4490

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 7

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1457027591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071926",
            "telephone_number": "860-409-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RITCHIE STATION CT STE 200",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435075",
            "telephone_number": "240-455-9400",
            "fax_number": "240-455-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Prince St Ste 402B",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191600",
            "country_code": "US",
            "telephone_number": "203-752-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNAGE",
        "first_name": "KHAMILLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13252",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.