Individual provider Active NPI

Kristen Z Landers, DPT

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1598017501
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207601 Issued in VA
Practice address
209 Madison St
Suite LL2
Alexandria, VA 22314-1764
Phone
(703) 299-6688
Fax
(703) 299-3588
NPI assigned
Oct 15, 2012
Last updated
Nov 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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 2305207601 VA Primary

Addresses

Primary practice location

209 Madison St
Suite LL2
Alexandria, VA 22314-1764

Mailing address

PO Box 1769
Middleburg, VA 20118-1769
Phone (540) 687-8181

Other names 1

  • Kristen Zielinski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121211000467 DC Practitioner - Physical Therapist in Private Practice 7719139112 Reassigns benefits to 1 organization
I20140507002120 VA Practitioner - Physical Therapist in Private Practice 7719139112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

42365 Soave Dr
Suite 200
Brambleton, VA 20148-4888
Phone (571) 349-3116

43490 Yukon Dr
Ashburn, VA 20147-6990
Phone (703) 729-7920

46262 Cranston St
Suite 115B
Sterling, VA 20165-7241
Phone (571) 306-4113

5900 Fort Dr
Suite 208
Centreville, VA 20121-2425
Phone (703) 830-6360

8550 Route 29
Fairfax, VA 22031-1519
Phone (703) 208-1002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305207601VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince May 1, 2014 Accepting new patients

Locations

209 Madison St
Ste LL2
Alexandria, VA 22314
Phone (703) 299-6688

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

5115 Leesburg Pike
Falls Church, VA 22041
Phone (703) 253-0022

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.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1598017501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201181769",
            "telephone_number": "540-687-8181",
            "fax_number": "540-687-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MADISON ST",
            "address_2": "SUITE LL2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141764",
            "telephone_number": "703-299-6688",
            "fax_number": "703-299-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERS",
        "first_name": "KRISTEN",
        "middle_name": "Z",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ZIELINSKI",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 6, 2013; 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.