Individual provider Active NPI

Kelly Elizabeth James, PT, DPT

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1619469988
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210770 Issued in VA
Practice address
950 Herndon Pkwy Ste 425
Herndon, VA 20170-5537
Phone
(703) 665-1444
Fax
(703) 972-2729
NPI assigned
Jun 3, 2018
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003918 WV
Physical Therapist 225100000X 2305210770 VA Primary

Addresses

Primary practice location

950 Herndon Pkwy Ste 425
Herndon, VA 20170-5537

Mailing address

13156 Applegrove LN
Herndon, VA 20171-3943
Phone (703) 608-5456

Other practice location 1

420 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1099

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scheduling@optimalmotionpt.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305210770VAMDPhysical Therapist
003918WVMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: scheduling@optimalmotionpt.com

NPI Registry JSON

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1619469988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13156 APPLEGROVE LN",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713943",
            "telephone_number": "703-608-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HERNDON PKWY STE 425",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705537",
            "telephone_number": "703-665-1444",
            "fax_number": "703-972-2729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Rumford",
            "state": "ME",
            "postal_code": "042762104",
            "country_code": "US",
            "telephone_number": "207-369-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "003918",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scheduling@optimalmotionpt.com",
            "affiliation": "N",
            "address_1": "950 Herndon Pkwy Ste 425",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201705537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.