Active NPI
Kevin Dintino, PT, DPT
- Physical Therapist
- Midlothian, VA
National Provider Identifier
1649233552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305003955
- Practice address
- 6049 Harbour Park Dr
Midlothian, VA 23112-2160 - Phone
- (804) 639-2359
- Fax
- (804) 639-2029
- NPI assigned
- Apr 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305003955 | VA | Primary |
Addresses
Primary practice location
6049 Harbour Park Dr
Midlothian, VA 23112-2160
Mailing address
PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4568781 | Other | AETNA | |
| P00393928 | Other | VA | MEDICARE RAILROAD |
| 192944 | Other | VA | BCBS PHYSICAL THERAPY |
| 010125545 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305003955 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
392 Garrisonville Rd
Ste 211
Stafford, VA 22554
Phone (540) 602-4277
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.
-
- Physical Therapist
- Chesapeake, VA
- NPI 1215952361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1649233552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69030",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649030",
"telephone_number": "757-873-2302",
"fax_number": "757-873-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6049 HARBOUR PARK DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122160",
"telephone_number": "804-639-2359",
"fax_number": "804-639-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINTINO",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4568781",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00393928",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PHYSICAL THERAPY",
"identifier": "192944",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010125545",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.