Active NPI
Kristin Susan Hisa Warner, PT, DPT
- Physical Therapist
- Fairfax, VA
National Provider Identifier
1831982446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305217117
- Practice address
- 8100 Innovation Park Dr # LL20
Fairfax, VA 22031-4870 - Phone
- (571) 472-0490
- NPI assigned
- May 27, 2025
- Last updated
- May 27, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305217117 | VA | Primary |
Addresses
Primary practice location
8100 Innovation Park Dr # LL20
Fairfax, VA 22031-4870
Mailing address
900 N Randolph St Apt 318
Arlington, VA 22203-1988
Phone (310) 318-4671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305217117 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Physical Therapist | Past | Accepting new patients |
| Inova Health Care Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Inova Physical Therapy Center
- Physical Therapist
- Springfield, VA
- NPI 1043563257
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1831982446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N RANDOLPH ST APT 318",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031988",
"telephone_number": "310-318-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 INNOVATION PARK DR # LL20",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314870",
"telephone_number": "571-472-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "KRISTIN",
"middle_name": "SUSAN HISA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305217117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Stacy P. Ward-Charlerie, PHARM D
- Jean Ann Ward, PH.D.
- Kevin Patrick Ward, D.C.
- Maya Ward
- Michelle R. Ward, LPC, LMFT
- Washington Behavioral Health, PC
- Washington Hospital Center (Inova Medical Group)
- Washington Imaging Associates - Maryland LLC
- Washington Mindcare Institute
- Washington Radiology Assoc PLLC (Washington Radiology Associates, PLLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.