Kimberly Kenna Rodriguez, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305206468 Issued in VA

Practice address

322 N Buckmarsh St Ste a
Berryville, VA 22611-1024

Phone

(540) 955-1837

NPI assigned

Aug 3, 2010

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kimberly Anne Kenna Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berryville Physical Therapy and Wellness PLLCGroup PAC ID 4587737234, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Berryville Physical Therapy and Wellness, PLLC

  • Physical Therapist
  • Berryville, VA
  • NPI 1003083387
  Medicare reassignment Care Compare group NPD
• Dr Krawchuk PLC

  • Chiropractor
  • Berryville, VA
  • NPI 1679808174
  NPD (past)
• Frederick County School Board

  • Local Education Agency (LEA)
  • Winchester, VA
  • NPI 1235342304
  NPD (past)
• Leesburg Sports, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Purcellville, VA
  • NPI 1023033354
  NPD (past)

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1629382569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CANYON RD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027027",
            "telephone_number": "540-327-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N BUCKMARSH ST STE A",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111024",
            "telephone_number": "540-955-1837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17340 Pickwick Dr",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201326181",
            "country_code": "US",
            "telephone_number": "540-338-0685",
            "fax_number": "540-338-0687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013009",
            "country_code": "US",
            "telephone_number": "540-662-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KIMBERLY",
        "middle_name": "KENNA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305206468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KENNA",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Poe, LMHP-R
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• Ashley Renner
• Olivia Michelle Renzy
• Megan Alexandra Riggen, OTR/L
• Shanthi Rondot, AGPNP
• Christina M. Rose, PT
• RPBV LLC (Reed's Pharmacy 6)
• James Anthony Ruble, PT, DPT
• Ashley Lemay Sanford, PT

• Orthopedic Physical Therapist in Berryville, VA
• Providers in Berryville, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.