Active NPI
Nathalie G Kassis, PT
- Physical Therapist
- Fairfax Station, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5618 Ox Rd
Suite H
Fairfax Station, VA 22039-1018 - Phone
- (703) 426-4949
- NPI assigned
- Aug 29, 2006
- 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 | Primary |
Addresses
Primary practice location
5618 Ox Rd
Suite H
Fairfax Station, VA 22039-1018
Mailing address
5008 Domain PL
Alexandria, VA 22311-5016
Phone (703) 671-7707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305201771 | Other | VA | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
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)
5618 H Ox Rd
Fairfax Station, VA 22039-1018
Phone (703) 426-4949
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Rehabilitation Network LLC | Physical Therapist | Current | Accepting new patients |
| Progress Rehabilitation Network, LLC | Physical Therapist | Past | Accepting new patients |
Locations
5618H Ox Rd
Fairfax Station, VA 22039
Phone (703) 426-4949
5300 Hickory Park Dr
Ste 110
Glen Allen, VA 23059
Phone (804) 270-7754
3001 Hungary Spring Rd
Ste D
Richmond, VA 23228
Phone (804) 756-8490
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 and National Provider Directory roles.
-
- Physical Therapist
- Glen Allen, VA
- NPI 1801915194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1851400402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 DOMAIN PL",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223115016",
"telephone_number": "703-671-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5618 OX RD",
"address_2": "SUITE H",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220391018",
"telephone_number": "703-426-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSIS",
"first_name": "NATHALIE",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "2305201771",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax Station, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.