Kevin S Petit, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005302 Issued in VA

Practice address

313 Neff Ave
Suite C
Harrisonburg, VA 22801-3495

Phone

(540) 434-1664

Fax

(540) 437-0052

NPI assigned

Aug 1, 2005

Last updated

Oct 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1508867532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 NEFF AVE",
            "address_2": "SUITE C",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013495",
            "telephone_number": "540-434-1664",
            "fax_number": "540-437-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 NEFF AVE",
            "address_2": "SUITE C",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013495",
            "telephone_number": "540-434-1664",
            "fax_number": "540-437-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIT",
        "first_name": "KEVIN",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "103077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Patrick Persons, MD
• Casey Lauren Petefish, COTA
• Joshua L Petersheim, DPT
• Connie Lee Peterson, ATC, PHD
• Jumar D Peterson, M.ED
• Emily Petkus
• Alex Petsko
• Danielle Peyton, MS, LPC
• Cori Pflugradt, PA-C
• Alyssa Nicole Phelps, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.