Kristen Patterson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206567 Issued in VA

Practice address

6858 Old Dominion Dr
Suite 200
MC Lean, VA 22101-3899

Phone

(703) 288-8277

Fax

(703) 288-9316

NPI assigned

Oct 6, 2011

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1841574902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 GOLF COURSE DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913820",
            "telephone_number": "843-819-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6858 OLD DOMINION DR",
            "address_2": "SUITE 200",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013899",
            "telephone_number": "703-288-8277",
            "fax_number": "703-288-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KRISTEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF PHYSICAL THERAPY",
            "identifier": "2305206567",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF MD",
            "identifier": "23800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pastoral Counseling of Northern Virginia
• Arti Yogesh Patel
• Neha Patel
• Nirali Rajen Patel, PA-C
• Tejal Hasmukhlal Patel, PA-C
• Sarah Patterson, MOTR/L
• Gabrielle Payabyab
• Daylon C Pearson
• Amy G Pedulla, DPT
• Christopher John Peele

• Physical Therapist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.