Khadija Sanam Kokab, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305212276 Issued in VA

Practice address

7617 Little River Tpke Ste 110
Annandale, VA 22003-2603

Phone

(703) 639-0950

Fax

(703) 663-8730

NPI assigned

Jun 5, 2019

Last updated

Jun 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Kinetics Rehab, LLCGroup PAC ID 4688766256, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Body Kinetics Rehab LLC.

  • Neurology Physical Therapist
  • Annandale, VA
  • NPI 1891706586

  DC, Single Specialty

  Medicare reassignment Care Compare group NPD
• Body Mechanix and Beyond LLC

  • Physical Therapist
  • Annandale, VA
  • NPI 1699396317
  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1548828437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 LITTLE RIVER TPKE STE 110",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032603",
            "telephone_number": "703-639-0950",
            "fax_number": "703-663-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 LITTLE RIVER TPKE STE 110",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032603",
            "telephone_number": "703-639-0950",
            "fax_number": "703-663-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKAB",
        "first_name": "KHADIJA",
        "middle_name": "SANAM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bodykineticsrehab.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7617 Little River Tpke Ste 110",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220032603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Young Ki Kim
• Mary C King, LCSW
• Isabel B. Kirk, MA, LPC
• Aaron M. Kistler, MD
• Shiloah Kline
• Elaine Wolf Komarow, L. AC.
• Mi Song Kong, FNP-C
• Korean Community Service Center of Greater Washington, Inc.
• Amer Kowatli
• Kelly Kraaimoore, M.S. CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.