Active NPI
Kyle Kohnen, DPT
- Orthopedic Physical Therapist
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305214111
- Practice address
- 11800 Sunrise Valley Dr Ste 100
Reston, VA 20191-5309 - Phone
- (703) 709-1116
- NPI assigned
- Jan 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2305214111 | VA | Primary |
| Physical Therapist | 225100000X | 12191 | SC |
Addresses
Primary practice location
11800 Sunrise Valley Dr Ste 100
Reston, VA 20191-5309
Mailing address
4501 Lake Anna CT
Spotsylvania, VA 22551-6396
Phone (540) 454-5590
Other practice location 1
1762 E Main St
Spartanburg, SC 29307-2231
Phone (864) 573-5075
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkohnen764460@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305214111 | VA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Kentucky LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Ky LLC | Physical Therapist | Current | Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Kentucky LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Past | Accepting new patients | |
| Virginia Hospital Center Arlington Health System | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1725 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 467-9969
861 Fairview Ave
Ste 102
Bowling Green, KY 42101
Phone (270) 783-8438
7800 John Davis Dr
Ste 460
Frankfort, KY 40601
Phone (502) 699-2734
1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086
1010 Monarch St
Ste 150
Lexington, KY 40513
Phone (859) 219-0211
805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833
200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152
525 E Market St
Ste B
Leesburg, VA 20176
Phone (703) 443-6700
Organizations & group practices 9
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
- Leesburg, VA
- NPI 1629128152
-
- Physical Therapist
- Chattanooga, TN
- NPI 1043734221
-
- Physical Therapist
- Richmond, KY
- NPI 1003258443
-
- Physical Therapist
- Winchester, KY
- NPI 1639511074
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
- Pharmacy
- Arlington, VA
- NPI 1790045052
-
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1609117811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1659960904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 LAKE ANNA CT",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225516396",
"telephone_number": "540-454-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 SUNRISE VALLEY DR STE 100",
"city": "RESTON",
"state": "VA",
"postal_code": "201915309",
"telephone_number": "703-709-1116"
}
],
"practiceLocations": [
{
"address_1": "1762 E Main St",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293072231",
"country_code": "US",
"telephone_number": "864-573-5075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHNEN",
"first_name": "KYLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305214111",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12191",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkohnen764460@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "22505 Landmark Ct Ste 215",
"city": "Ashburn",
"state": "VA",
"country_code": "US",
"postal_code": "201486502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.