Individual provider Active NPI

Cara S Kiernan, MSPT

  • Pediatric Physical Therapist
  • Fairfax, VA
National Provider Identifier
1609908847
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2305005534 Issued in VA
Practice address
9685 Main St Ste B
Fairfax, VA 22031-3752
Phone
(703) 978-8400
Fax
(703) 978-9898
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 2305005534 VA Primary

Addresses

Primary practice location

9685 Main St Ste B
Fairfax, VA 22031-3752

Mailing address

9685 Main St Ste B
Fairfax, VA 22031-3752
Phone (703) 978-8400

Other practice location 1

1560 Heather Field Ln
Earlysville, VA 22936-2809
Phone (571) 338-3740

Other practice location 2

1102 Rose Hill Dr
Charlottesville, VA 22903-5128
Phone (434) 979-8628 ext. 1

Other practice location 3

14715 Bristow Rd
Manassas, VA 20112-3945
Phone (703) 791-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305005534VAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy 4 Kids, LLC Pediatrics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1609908847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9685 MAIN ST STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313752",
            "telephone_number": "703-978-8400",
            "fax_number": "703-978-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 MAIN ST STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313752",
            "telephone_number": "703-978-8400",
            "fax_number": "703-978-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Heather Field Ln",
            "address_purpose": "LOCATION",
            "city": "Earlysville",
            "state": "VA",
            "postal_code": "229362809",
            "country_code": "US",
            "telephone_number": "571-338-3740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Rose Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229035128",
            "country_code": "US",
            "telephone_number": "434-979-8628 x1",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14715 Bristow Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201123945",
            "country_code": "US",
            "telephone_number": "703-791-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "CARA",
        "middle_name": "S",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305005534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.