Active NPI
Khadidiatou Kane, PT, DPT
- Physical Therapist
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT872429 | Other | DC | DC DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nirschl Orthopaedic Center for Sportsmedicine & Joint Reconstruction | Current | Accepting new patients | |
| Washington Orthopaedics and Sports Medicine, P.a. | Current | Accepting new patients | |
| Virginia Therapy & Fitness Center | Current | Accepting new patients | |
| Washington Orthopaedics and Sports Medicine, P.a. | Current | Accepting new patients | |
| Physical Therapy Solutions, LLC | Past | 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.
-
- Specialist
- Arlington, VA
- NPI 1053459149
DC
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Chevy Chase, MD
- NPI 1780628131
DC
-
- Orthopaedic Surgery Physician
- Washington, DC
- NPI 1275292203
-
- Orthopedic Physical Therapist
- Arlington, VA
- NPI 1871610634
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.