Individual provider Active NPI

Kandice Minor Colbert, PT

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1518166305
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2035204772 Issued in VA
Practice address
3111 Duke St # 4
Alexandria, VA 22314-4518
Phone
(571) 317-6792
NPI assigned
Jul 12, 2007
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 2035204772 VA Primary

Addresses

Primary practice location

3111 Duke St # 4
Alexandria, VA 22314-4518

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

5501 Backlick Rd
Suite 118
Springfield, VA 22151-3933
Phone (703) 750-1204

Other identifiers 2

IdentifierTypeStateIssuer
2307000356OtherVADIRECT ACCESS CERTIFICATION
K949 - 0018OtherVACAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NM, TX, OR, AZ, MD, AK, DE, WA, SC, IN11 enrollments

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20090615000133 DC Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 1 organization
I20260223001630 NM Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 1 organization
I20260224003864 TX Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 1 organization
I20260227003062 OR Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 1 organization
I20260303000021 AZ Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 1 organization
I20260318000263 MD Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 2 organizations
I20260319002184 AK Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 1 organization
I20260326003296 DE Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 1 organization
I20260402004015 WA Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 1 organization
I20260410002195 SC Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 2 organizations
I20260413003483 IN Practitioner - Physical Therapist in Private Practice 6901956929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Drexel University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians
Physical Therapy at Dawn LLCGroup PAC ID 0042221889, 29 clinicians
Adient Alaska LLCGroup PAC ID 2961533195, 16 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

100 Valley Ctr Rd
Wilmington, DE 19808-2950
Phone (302) 994-1200

11620 97TH LN NE
Kirkland, WA 98034-4269
Phone (425) 820-0869

200 Patewood Dr
Suite C150
Greenville, SC 29615-6323
Phone (864) 454-0904

3111 Duke St
Suite 4
Alexandria, VA 22314-4518
Phone (571) 317-6792

3611 NM 528 NW
101 Ati Physical Therapy
Albuquerque, NM 87114-8920
Phone (505) 217-2826

3745 Geist Rd
Fairbanks, AK 99709-3554
Phone (907) 456-1112

4015 Lemmon Ave
Dallas, TX 75219-3737
Phone (469) 872-7461

5110 S Rural Rd
Suite 104
Tempe, AZ 85282-7289
Phone (480) 629-5549

5620 Michigan Rd
Suite a
Indianapolis, IN 46228-1750
Phone (317) 454-8593

7820 Wormans Mill Rd C
Ati Physical Therapy
Frederick, MD 21701-3037
Phone (240) 831-7664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2035204772VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jan 17, 2026 Accepting new patients
Adient Alaska, LLC Physical Therapist CurrentSince Feb 3, 2026 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Physical Therapy at Dawn, LLC Physical Therapist CurrentSince Jan 17, 2026 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 17, 2026 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jan 17, 2026 Accepting new patients
Alliance Rehabilitation, LLC Physical Therapist Past Accepting new patients
Alliance Rehabilitation, LLC Physical Therapist Past Accepting new patients
Ideal Rehabilitation LLC PastSince Jan 17, 2026 Accepting new patients

Locations

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

7820 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (240) 831-7664

3611 NM 528 NW
Ste 101
Albuquerque, NM 87114
Phone (505) 217-2826

6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

11977 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 486-6944

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

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

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

4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461

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

2002 W Grand Pkwy N
Ste 125
Katy, TX 77449
Phone (281) 710-9001

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

3111 Duke St
#4
Alexandria, VA 22314
Phone (571) 317-6792

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1518166305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 DUKE ST # 4",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144518",
            "telephone_number": "571-317-6792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Backlick Rd",
            "address_2": "Suite 118",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221513933",
            "country_code": "US",
            "telephone_number": "703-750-1204",
            "fax_number": "703-750-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINOR COLBERT",
        "first_name": "KANDICE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2035204772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIRECT ACCESS CERTIFICATION",
            "identifier": "2307000356",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K949 - 0018",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.