Kimberly McFadyen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605991 Issued in VA

Practice address

2380 Plank Rd Ste a
Fredericksburg, VA 22401-4927

Phone

(540) 373-1303

Fax

(540) 373-6061

NPI assigned

Nov 2, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1649987231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 PLANK RD STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014927",
            "telephone_number": "540-373-1303",
            "fax_number": "540-373-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 PLANK RD STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014927",
            "telephone_number": "540-373-1303",
            "fax_number": "540-373-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADYEN",
        "first_name": "KIMBERLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcfadyen@alliancephysicaltherapyva.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2380 Plank Rd Ste A",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224014927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly McDonald, N.P.
• Micah Daniel McDonald, PA-C
• Ryan A McDonnel, DC
• Jordan Wade McDougal, RBT
• Kenneth Michael McDowell, DO
• Ashley McGee, NP
• Mary E McGhee, MA, CCMHC, NCC
• Brandon McGiness
• Adrianna McGovern
• Robert Francis McGrail, DDS

• All providers in Fredericksburg, VA
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.