Active NPI
Kristin Amiraian Grohs, MSPT
- Physical Therapist
- Reston, VA
National Provider Identifier
1558388678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305006739
- Practice address
- 1850 Town Center Parkway
Suite 403
Reston, VA 20190 - Phone
- (703) 736-2806
- Fax
- (703) 736-1677
- NPI assigned
- Jul 16, 2006
- Last updated
- Nov 2, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305006739 | VA | Primary |
Addresses
Primary practice location
1850 Town Center Parkway
Suite 403
Reston, VA 20190
Mailing address
11240 Waples Mill Road
Suite 403
Fairfax, VA 22030
Phone (703) 385-4707
Other names 1
- Kristin Marie Amiraian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305006739 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristin Grohs, PT | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Arlington, VA
- NPI 1033711585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1558388678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11240 WAPLES MILL ROAD",
"address_2": "SUITE 403",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030",
"telephone_number": "703-385-4707",
"fax_number": "703-691-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PARKWAY",
"address_2": "SUITE 403",
"city": "RESTON",
"state": "VA",
"postal_code": "20190",
"telephone_number": "703-736-2806",
"fax_number": "703-736-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROHS",
"first_name": "KRISTIN",
"middle_name": "AMIRAIAN",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305006739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "AMIRAIAN",
"middle_name": "MARIE",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.