Kassidy W Lingenfelter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305218068 Issued in VA

Practice address

8270 Willow Oaks Corporate Dr Ste 700
Fairfax, VA 22031-4529

Phone

(703) 810-5218

Fax

(703) 810-5406

NPI assigned

Aug 19, 2021

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas a Brady Sports Medicine Center, PCGroup PAC ID 5991609281, 100 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas a Brady Sports Medicine Center, PC

  dba Forte Sports Medicine and Orthopedics

  • Orthopaedic Surgery Physician
  • Carmel, IN
  • NPI 1467484212

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Theraplay LLC

  • Physical Therapist
  • Bloomington, IN
  • NPI 1598708109
  Medicare reassignment NPD
• Thomas a Brady Sports Medicine Center, PC

  dba Forte Sports Medicine and Orthopedics

  • Orthopaedic Surgery Physician
  • Noblesville, IN
  • NPI 1407480239

  Physical Therapist

  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1609542612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715868",
            "telephone_number": "804-915-1910",
            "fax_number": "804-968-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 WILLOW OAKS CORPORATE DR STE 700",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314529",
            "telephone_number": "703-810-5218",
            "fax_number": "703-810-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 W County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461425195",
            "country_code": "US",
            "telephone_number": "317-817-1200",
            "fax_number": "317-817-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINGENFELTER",
        "first_name": "KASSIDY",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305218068",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014288A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LICENSE",
            "identifier": "05014288A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Lindsay-Luper, MSW
• Diem Lindsey
• Jennifer H Lindsey, M.D.
• Cheryl A Lindstrom, MD
• Richard V Line, DDS
• Kristen L Lininger
• Kathleen Mary Link, M.D.
• Mary Morse Linn, N.P.
• Elizabeth Linton
• Natnari Natalie Linwong, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.