Individual provider Active NPI

Kyle Kohnen, DPT

  • Orthopedic Physical Therapist
  • Reston, VA
National Provider Identifier
1659960904
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305214111 Issued in VA
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

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
2305214111VAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Physical Therapy, Inc. Physical Therapist CurrentSince Jan 7, 2025 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Agilitas USA Inc Past Accepting new patients
Virginia Hospital Center Arlington Health System PastSince Jan 7, 2025 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.

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.

Verify at the official NPI Registry.