Active NPI
Kimberly Ortanez Enderes, DPT
- Physical Therapist
- Sterling, VA
National Provider Identifier
1659536308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205506
- Practice address
- 21475 Ridgetop Cir
Ste 150
Sterling, VA 20166-6580 - Phone
- (703) 433-2500
- Fax
- (703) 433-2558
- NPI assigned
- Jul 22, 2008
- Sex
- Female
- 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 | 2305205506 | VA | Primary |
Addresses
Primary practice location
21475 Ridgetop Cir
Ste 150
Sterling, VA 20166-6580
Mailing address
516 Herndon Pkwy Suite D
Herndon, VA 20170
Phone (703) 779-3631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495497600000",
"number": "1659536308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 HERNDON PKWY SUITE D",
"city": "HERNDON",
"state": "VA",
"postal_code": "20170",
"telephone_number": "703-779-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21475 RIDGETOP CIR",
"address_2": "STE 150",
"city": "STERLING",
"state": "VA",
"postal_code": "201666580",
"telephone_number": "703-433-2500",
"fax_number": "703-433-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDERES",
"first_name": "KIMBERLY",
"middle_name": "ORTANEZ",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2017-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.