Kelli Jo Chesnut Doern, P.T.

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

2305208493 Issued in VA

Practice address

8254 Atlee Rd
Mechanicsville, VA 23116-1844

Phone

(804) 764-5357

Fax

(804) 560-7962

NPI assigned

Jul 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stride Physical Therapy

  • Physical Therapist
  • Midlothian, VA
  • NPI 1922893965

  Neurology

  Medicare reassignment NPD Authorized official
• Virginia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1235720848

  Neurology

  Medicare reassignment Care Compare group NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Physical Therapist
  • Dallas, TX
  • NPI 1386619237
  NPD (past)
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1821300377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WHITECASTLE DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136030",
            "telephone_number": "319-321-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161844",
            "telephone_number": "804-764-5357",
            "fax_number": "804-560-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERN",
        "first_name": "KELLI",
        "middle_name": "JO CHESNUT",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "VA",
            "license": "2305208493",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1196330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dietz, O.T.
• Jennifer Dilger, PT, DPT
• Heather Tuck Dillow, LPTA
• Torski Nikia Dobson-Arnold
• Valerie Dodson, MED CCC-SLP
• Samina Dolan
• Dominion Behavioral Healthcare
• Dominion Orthodontics, PC
• Dominion Women'S Health, Inc.
• Margaret Dondero

• Neurology Physical Therapist in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Neurology Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.