Kathleen Kelleher Middleton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305208262 Issued in VA

Practice address

9447B Lorton Market St
Suite 250
Lorton, VA 22079-1963

Phone

(703) 372-5716

Fax

(703) 372-5718

NPI assigned

Jan 25, 2007

Last updated

Oct 17, 2013By 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 identifiers 1

Other names 1

• Kathleen Kelleher Whiting Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• East Sacramento Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Sacramento, CA
  • NPI 1871610287

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1639224777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 VOLUNTEER DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092922",
            "telephone_number": "916-487-3473",
            "fax_number": "916-487-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9447B LORTON MARKET ST",
            "address_2": "SUITE 250",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791963",
            "telephone_number": "703-372-5716",
            "fax_number": "703-372-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "KATHLEEN",
        "middle_name": "KELLEHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "PT 33916",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WHITING",
            "middle_name": "KELLEHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Metsilk LLC
• Glory Ngoh Metuge, NP
• Michael James Meyer, CRNA
• Susan E Meyerson, PTA
• Mi Holi Life LLC
• Jane Ann M Migdal, BSPHARM PHARMD
• MK Supplies Inc
• Robert E Moffitt, DDS
• Zeinab Mohamed
• Madelyn P Moore, BEHAVIOR TECHNICIAN

• Physical Therapist in Lorton, VA
• Providers in Lorton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.