Virginia O Kennison, MSPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305004935 Issued in VA

Practice address

5388 Discovery Park Blvd Ste 100
Williamsburg, VA 23188-8218

Phone

(757) 903-4230

Fax

(757) 903-4231

NPI assigned

Apr 4, 2006

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 4

Other names 1

• Virginia J Ogren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Fusion Chiropractic, LLC

  • Chiropractor
  • Williamsburg, VA
  • NPI 1265728307
  NPD

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1659333847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5388 DISCOVERY PARK BLVD STE 200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888218",
            "telephone_number": "757-903-4230",
            "fax_number": "757-903-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5388 DISCOVERY PARK BLVD STE 100",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888218",
            "telephone_number": "757-903-4230",
            "fax_number": "757-903-4231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Bulifants Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885731",
            "country_code": "US",
            "telephone_number": "757-229-9740",
            "fax_number": "757-229-9741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNISON",
        "first_name": "VIRGINIA",
        "middle_name": "O",
        "credential": "MSPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHYSICAL THERAPY",
            "identifier": "192973",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8928657",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650018759",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5583189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "OGREN",
            "middle_name": "J",
            "credential": "MSPT,OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristy Marie Kelly, DPT
• Humphrey T Kem-Bumbala, PHARM D
• Michelyn Cynthia Kemp, PHD
• Christine Kenfield, CMT
• Ryan Kenney, MD
• Ronald V Kidd, PH.D.
• Kevin Daniel Kiely, DMD
• Gloria Kim, PMHNP-BC, FNP-BC
• Karen Emily King, ACNPC-AG
• Brittney Nichole Kirkpatrick, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.