Active NPI
Kayla O'Sullivan
- Physical Therapist
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305214494
- Practice address
- 1850 Town Center Pkwy Ste 403
Reston, VA 20190-3300 - Phone
- (703) 810-5203
- NPI assigned
- Sep 30, 2022
- 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 | 2305214494 | VA | Primary |
Addresses
Primary practice location
1850 Town Center Pkwy Ste 403
Reston, VA 20190-3300
Mailing address
PO Box 715868
Philadelphia, PA 19171-5868
Phone (804) 915-1910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221114001934 | DC | Practitioner - Physical Therapist in Private Practice | 8123495611 | Reassigns benefits to 1 organization |
| I20250815003391 | VA | Practitioner - Physical Therapist in Private Practice | 8123495611 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthovirginia Inc
Practice addresses (Care Compare)
1850 Town Ctr Pkwy
Reston, VA 20190-3300
Phone (703) 810-5203
20041 Riverside Commons PLZ
Ashburn, VA 20147-5151
Phone (703) 446-0447
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc | Physical Therapist | Current | Accepting new patients |
| Orthovirginia, Inc. | Current | Accepting new patients | |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia Inc. | Current | Accepting new patients | |
| Orthovirginia Inc | Physical Therapist | Current | Accepting new patients |
Locations
6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210
20041 Riverside Commons Plz
Ashburn, VA 20147
Phone (703) 277-2663
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
1850 Town Center Pkwy
Ste 400
Reston, VA 20190
Phone (703) 234-1000
1850 Town Center Pkwy
Ste 403
Reston, VA 20190
Phone (703) 736-2806
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.
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
Physical Therapist, VA
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1609590884",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY STE 403",
"city": "RESTON",
"state": "VA",
"postal_code": "201903300",
"telephone_number": "703-810-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SULLIVAN",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 14, 2022; 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.