Individual provider Active NPI

Kristyn Ann Archbald

  • Physical Medicine & Rehabilitation Physician
  • North Chesterfield, VA
National Provider Identifier
1730865171
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2305209930 Issued in VA
Practice address
11210 Robious Rd
North Chesterfield, VA 23235-3700
Phone
(203) 927-9036
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2305209930 VA Primary

Addresses

Primary practice location

11210 Robious Rd
North Chesterfield, VA 23235-3700

Mailing address

111 Midfield Rd
North Chesterfield, VA 23236-3445
Phone (203) 927-9036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230726000340 VA Practitioner - Physical Therapist in Private Practice 1254792120 Reassigns benefits to 2 organizations
I20250702000692 DC Practitioner - Physical Therapist in Private Practice 1254792120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5101 C Backlick Rd
Suite 2
Annandale, VA 22003-6062
Phone (571) 491-8887

567 N Parham Rd
Henrico, VA 23229-7203
Phone (866) 808-4133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc CurrentSince Jul 3, 2023 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Jul 7, 2025 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Jul 7, 2025 Accepting new patients
Legacy Healthcare Services Inc CurrentSince Jul 3, 2023 Accepting new patients

Locations

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

110 Horizon Dr
#310
Raleigh, NC 27615

5101C Backlick Rd
Ste 2
Annandale, VA 22003
Phone (571) 491-8887

567 N Parham Rd
Richmond, VA 23229
Phone (571) 491-8887

3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500

Organizations & group practices 4

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1730865171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MIDFIELD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363445",
            "telephone_number": "203-927-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 ROBIOUS RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353700",
            "telephone_number": "203-927-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHBALD",
        "first_name": "KRISTYN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2305209930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.