Individual provider Active NPI

Aaron Kyle Perkins, PT, DPT, OCS, CSCS

  • Physical Therapist
  • Dumfries, VA
National Provider Identifier
1588749196
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204358 Issued in VA
Practice address
3695 Fettler Park Dr
Dumfries, VA 22025-2049
Phone
(571) 427-4378
Fax
(571) 833-4378
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X
Physical Therapist 225100000X 2305204358 VA Primary

Addresses

Primary practice location

3695 Fettler Park Dr
Dumfries, VA 22025-2049

Mailing address

3695 Fettler Park Dr
Dumfries, VA 22025-2049
Phone (571) 427-4378

Other identifiers 3

IdentifierTypeStateIssuer
192056OtherVAANTHEM
192012OtherVAANTHEM
1588749196MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000592 VA Practitioner - Physical Therapist in Private Practice 9931289568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominion Physical Therapy LLCGroup PAC ID 4486081007, 5 clinicians

Practice addresses (Care Compare)

3695 Fettler Park Dr
Dumfries, VA 22025-2049
Phone (571) 427-4378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305204358VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 8, 2017 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 8, 2017 Accepting new patients
Dominion Physical Therapy, LLC CurrentSince Feb 16, 2020 Accepting new patients
Richmond Physical Therapy Corp Physical Therapist PastSince Aug 13, 2001 Accepting new patients
Ashland Physical Therapy Associates Inc Physical Therapist Past Accepting new patients

Locations

203 N Washington Hwy
Ashland, VA 23005
Phone (804) 340-1193

3695 Fettler Park Dr
Dumfries, VA 22025
Phone (571) 427-4378

10518 Spotsylvania Ave
#100
Fredericksburg, VA 22408
Phone (540) 710-5341

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

124 Old Potomac Church Rd
#201
Stafford, VA 22554
Phone (571) 427-4378

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1588749196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252049",
            "telephone_number": "571-427-4378",
            "fax_number": "571-833-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252049",
            "telephone_number": "571-427-4378",
            "fax_number": "571-833-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "AARON",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "192056",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "192012",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588749196",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.