Kevin Rabago

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306602483 Issued in VA

Practice address

14535 John Marshall Hwy
Suite 203
Gainesville, VA 20155-4023

Phone

(703) 753-0974

Fax

(703) 753-9709

NPI assigned

Nov 18, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Haymarket Physical Therapy LLC

  • Physical Therapist
  • Gainesville, VA
  • NPI 1093199275
  NPD

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1609104389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY",
            "address_2": "SUITE 203",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554023",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY",
            "address_2": "SUITE 203",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554023",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABAGO",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephane Provencher, D.C.
• PT Solutions LLC (PT Solutions of VA)
• PT Solutions LLC
• Erika Ptak
• Pure Therapeutic Counseling, PLLC
• Rabia Rafiq DDS & Associates,PLLC
• Anna Rada, M.S., CCC-SLP
• Eve Rebecca Radin, LPC, M.ED./ED.S
• Jennifer Radnich, LPC
• Shwetha Rai, D.D.S.

• Physical Therapy Assistant in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.