Individual provider Active NPI

Khadidiatou Kane, PT, DPT

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1801320783
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
200 N Glebe Rd Ste 310
Arlington, VA 22203-3761
Phone
(703) 527-1700
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

200 N Glebe Rd Ste 310
Arlington, VA 22203-3761

Mailing address

2021 K St NW Ste 610
Washington, DC 20006-1058

Other identifiers 1

IdentifierTypeStateIssuer
PT872429OtherDCDC DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190312000564 DC Practitioner - Physical Therapist in Private Practice 3870832736 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Virginia Therapy and Fitness CenterGroup PAC ID 3072680628, 11 clinicians

Practice addresses (Care Compare)

11800 Sunrise Valley Dr
Suite 100
Reston, VA 20191-5309
Phone (703) 709-1116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nirschl Orthopaedic Center for Sportsmedicine & Joint Reconstruction CurrentSince Mar 1, 2022 Accepting new patients
Washington Orthopaedics and Sports Medicine, P.a. CurrentSince Feb 7, 2019 Accepting new patients
Virginia Therapy & Fitness Center CurrentSince Jul 22, 2024 Accepting new patients
Washington Orthopaedics and Sports Medicine, P.a. CurrentSince Feb 7, 2019 Accepting new patients
Physical Therapy Solutions, LLC PastSince Nov 1, 2000 Accepting new patients

Locations

2021 K St NW
Ste 610
Washington, DC 20006
Phone (240) 395-1522

2021 K St NW
Ste 516
Washington, DC 20006
Phone (301) 657-1996

5550 Friendship Blvd
Ste 360
Chevy Chase, MD 20815
Phone (240) 241-0420

1715 N George Mason Dr
Ste 504
Arlington, VA 22205
Phone (703) 525-2200

11800 Sunrise Valley Dr
Ste 100
Reston, VA 20191
Phone (703) 709-1116

1831 Wiehle Ave
Ste 200
Reston, VA 20190
Phone (703) 709-1114

Organizations & group practices 5

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1801320783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 610",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N GLEBE RD STE 310",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222033761",
            "telephone_number": "703-527-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "KHADIDIATOU",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC DEPARTMENT OF HEALTH",
            "identifier": "PT872429",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.