Individual provider Active NPI

Kylie Knight, PT, DPT

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1669248761
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305217548 Issued in VA
Practice address
13039 Worldgate Dr
Herndon, VA 20170-4374
Phone
(703) 689-3164
Fax
(703) 689-3167
NPI assigned
Nov 29, 2023
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0019505 CO
Physical Therapist 225100000X 2305217548 VA Primary

Addresses

Primary practice location

13039 Worldgate Dr
Herndon, VA 20170-4374

Mailing address

12701 Fair Lakes Cir Ste 102
Fairfax, VA 22033-4913
Phone (703) 689-3164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240107000161 CO Practitioner - Physical Therapist in Private Practice 2365893062 Reassigns benefits to 3 organizations
I20260130001817 DC Practitioner - Physical Therapist in Private Practice 2365893062 Reassigns benefits to 1 organization
I20260202000871 VA Practitioner - Physical Therapist in Private Practice 2365893062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians
Rezac and Associates Physical Therapy PLLCGroup PAC ID 1850441247, 10 clinicians

Practice addresses (Care Compare)

13039 Worldgate Dr
Herndon, VA 20170-4374
Phone (703) 689-3164

43490 Yukon Dr
Ashburn, VA 20147-6990
Phone (703) 729-7920

855 Citadel Dr E
Colorado Springs, CO 80909-5304
Phone (719) 465-1502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305217548VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 13, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 13, 2025 Accepting new patients
Rezac & Associates Physical Therapy, LLC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Jan 16, 2026 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 13, 2025 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Jan 16, 2026 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

855 Citadel Dr E
Colorado Springs, CO 80909
Phone (719) 465-1502

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

13039 Worldgate Dr
Herndon, VA 20170
Phone (703) 689-3164

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1669248761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 FAIR LAKES CIR STE 102",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334913",
            "telephone_number": "703-689-3164",
            "fax_number": "703-689-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13039 WORLDGATE DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704374",
            "telephone_number": "703-689-3164",
            "fax_number": "703-689-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "KYLIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019505",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.