Jillian Kim Kasowski, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306606596 Issued in VA

Practice address

3299 Woodburn Rd Ste 310
Annandale, VA 22003-7300

Phone

(170) 384-9814

NPI assigned

Jul 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jill K Beatty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1831936087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 LONG PINE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512821",
            "telephone_number": "701-805-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD STE 310",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037300",
            "telephone_number": "170-384-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASOWSKI",
        "first_name": "JILLIAN",
        "middle_name": "KIM",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306606596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BEATTY",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Virginia Kane, MS, OTR/L
• Eul-Mo Kang, D.D.S.
• Jin Hee Kang
• Jonathan Dongho Kang, D.C.
• Atoosa Kashani, DPM
• Kathy E. Wolf, M.D., P.C.
• KC Construction Group Inc.
• Andrea Lynn Keller, RPA-C
• Kathleen R Kelley, MD
• Amanda Grace Kelsheimer, LCSW

• Physical Therapy Assistant in Annandale, VA
• Providers in Annandale, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.