Active NPI
Keenan David Brown, PT, DPT
- Physical Therapist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212950
- Practice address
- 1920 Ballenger Ave Ste 200
Alexandria, VA 22314-6818 - Phone
- (703) 810-5284
- Fax
- (703) 810-5465
- NPI assigned
- Jul 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305212950 | VA | Primary |
| Orthopedic Physical Therapist | 2251X0800X |
Addresses
Primary practice location
1920 Ballenger Ave Ste 200
Alexandria, VA 22314-6818
Mailing address
1115 Boulders Pkwy Ste 200
North Chesterfield, VA 23225-4067
Phone (804) 327-9242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190917000288 | DC | Practitioner - Physical Therapist in Private Practice | 9830428861 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthovirginia Inc
Practice addresses (Care Compare)
6354 Walker Lane
Suite 300
Alexandria, VA 22310-3252
Phone (703) 810-5210
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. | Current | Accepting new patients | |
| Orthovirginia, Inc. | Physical Therapist | Current | Accepting new patients |
| Bodies in Motion Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Orthovirginia, Inc | Current | Accepting new patients |
Locations
6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210
1920 Ballenger Ave
Ste 200
Alexandria, VA 22314
Phone (703) 810-5209
80 E Jefferson St
Ste 200
Falls Church, VA 22046
Phone (703) 237-2000
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213
Organizations & group practices 4
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.
-
- Physical Therapist
- Falls Church, VA
- NPI 1760437032
DC, Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1629620349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 BOULDERS PKWY STE 200",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232254067",
"telephone_number": "804-327-9242",
"fax_number": "804-327-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 BALLENGER AVE STE 200",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223146818",
"telephone_number": "703-810-5284",
"fax_number": "703-810-5465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KEENAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-12",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212950",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.