Individual provider Active NPI

Joanne M Kaiman, P.T.

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1841235561
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT870149 Issued in DC
Practice address
9530 Cosner Dr
Suite 100
Fredericksburg, VA 22408-7760
Phone
(540) 361-1833
Fax
(540) 361-1829
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT870149 DC Primary

Addresses

Primary practice location

9530 Cosner Dr
Suite 100
Fredericksburg, VA 22408-7760

Mailing address

9530 Cosner Dr
Suite 100
Fredericksburg, VA 22408-7760
Phone (540) 361-1833

Other identifiers 6

IdentifierTypeStateIssuer
521453370OtherDCUNITED HEALTHCARE
6165203OtherDCCIGNA
7439123OtherDCMAMSI LIFE & HEALTH
89790009OtherDCCAREFIRST BC/BS
P00264274OtherDCRAILROAD MEDICARE
521453370OtherDCNCPPO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000443 VA Practitioner - Physical Therapist in Private Practice 7315999513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2800 Welford St
Fredericksburg, VA 22401-3176
Phone (540) 361-1830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT870149DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince May 1, 2022 Accepting new patients
Mary Washington Healthcare Physicians Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Office of Orthopaedic Medicine and Surgery PC Past Accepting new patients
Orthopedic Specialty Clinic LTD Past Accepting new patients

Locations

2800 Wellford St
Fredericksburg, VA 22401

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

9530 Cosner Dr
Ste 100
Fredericksburg, VA 22408
Phone (540) 735-0401

9530 Cosner Dr
Ste 101
Fredericksburg, VA 22408

Organizations & group practices 4

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1841235561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 COSNER DR",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087760",
            "telephone_number": "540-361-1833",
            "fax_number": "540-361-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 COSNER DR",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087760",
            "telephone_number": "540-361-1833",
            "fax_number": "540-361-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIMAN",
        "first_name": "JOANNE",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "521453370",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6165203",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE & HEALTH",
            "identifier": "7439123",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "89790009",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00264274",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "521453370",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.