Individual provider Active NPI

Kristen Louise Kirk, DPT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1457685935
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206086 Issued in VA
Practice address
3620 Joseph Siewick Dr
Ste 100a
Fairfax, VA 22033-1756
Phone
(703) 810-5227
Fax
(703) 810-5224
NPI assigned
Sep 30, 2009
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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 2305206086 VA Primary

Addresses

Primary practice location

3620 Joseph Siewick Dr
Ste 100a
Fairfax, VA 22033-1756

Mailing address

11240 Waples Mill Rd
Suite 403
Fairfax, VA 22030-6078
Phone (703) 383-6454

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkirk6461@direct.orthovirginia.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091103000665 VA Practitioner - Physical Therapist in Private Practice 4385782820 Reassigns benefits to 1 organization
I20101014000504 DC Practitioner - Physical Therapist in Private Practice 4385782820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

24600 Millstream Dr
Suite 380
Aldie, VA 20105-3509
Phone (703) 810-5241

8270 Willow Oaks Corp Dr
Suite 700
Fairfax, VA 22031-4529
Phone (703) 810-5228

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc Physical Therapist CurrentSince Nov 21, 2022 Accepting new patients
Orthovirginia Inc Physical Therapist Current Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

8270 Willow Oaks Corporate Dr
Ste 700
Fairfax, VA 22031
Phone (703) 810-5218

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1457685935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 WAPLES MILL RD",
            "address_2": "SUITE 403",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306078",
            "telephone_number": "703-383-6454",
            "fax_number": "703-691-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "STE 100A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-810-5227",
            "fax_number": "703-810-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KRISTEN",
        "middle_name": "LOUISE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkirk6461@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Kirk direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "3620 Joseph Siewick Dr",
            "address_2": "Ste 100A",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.