Active NPI
Lerato Nkemetse Kitleli, MPT
- Physical Therapist
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205809
- Practice address
- 8644 Sudley Rd Ste 308
Manassas, VA 20110-4425 - Phone
- (571) 292-9910
- NPI assigned
- Sep 29, 2008
- Last updated
- Mar 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19799 | MD | |
| Physical Therapist | 225100000X | 2305205809 | VA | Primary |
Addresses
Primary practice location
8644 Sudley Rd Ste 308
Manassas, VA 20110-4425
Mailing address
8644 Sudley Rd Ste 308
Manassas, VA 20110-4425
Phone (571) 292-9910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Park St SE
Suite 300
Vienna, VA 22180-4653
Phone (703) 255-9100
1808 Plaza Dirve
Winchester, VA 22601
Phone (540) 665-2750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19799 | MD | MD | Physical Therapist |
| 2305205809 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of VA, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer PT of VA LLC | Physical Therapist | Current | Accepting new patients |
| Inova Physician Partners, LLC | Current | Accepting new patients | |
| Drayer Physical Therapy Virginia, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer PT of VA LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of VA, LLC | Physical Therapist | Current | Accepting new patients |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
26106 Lee Hwy
Abingdon, VA 24211
Phone (276) 623-0274
6201 Centreville Rd
Ste 100
Centreville, VA 20121
Phone (703) 263-9600
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
800 Shenandoah Ave
Ste 140
Elkton, VA 22827
Phone (540) 298-4749
313 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 434-1200
4011B Wards Rd
Lynchburg, VA 24502
Phone (434) 284-7894
740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995
4165 Quarles Ct
#1
Rockingham, VA 22801
Phone (540) 437-7585
100 Founders Way
Ste 1
Strasburg, VA 22657
Phone (540) 465-2505
115 Park St SE
Ste 300
Vienna, VA 22180
Phone (703) 255-9100
1808 Plaza Dr
Winchester, VA 22601
Phone (540) 665-2750
2076 Daniel Stuart Sq
Woodbridge, VA 22191
Phone (703) 462-1231
Organizations & group practices 9
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.
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- NPI 1831514637
-
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- NPI 1871063925
-
- Physical Therapist
- Harrisonburg, VA
- NPI 1093130346
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- NPI 1811204050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1487804290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8644 SUDLEY RD STE 308",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104425",
"telephone_number": "571-292-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8644 SUDLEY RD STE 308",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104425",
"telephone_number": "571-292-9910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITLELI",
"first_name": "LERATO",
"middle_name": "NKEMETSE",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19799",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.