Individual provider Active NPI

Nathalie G Kassis, PT

  • Physical Therapist
  • Fairfax Station, VA
National Provider Identifier
1851400402
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Nov 19, 2007

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 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

IdentifierTypeStateIssuer
2305201771OtherVALICENSE#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000186 DC Practitioner - Physical Therapist in Private Practice 0446344063 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
Progress Rehabilitation Network LLCGroup PAC ID 3779588256, 31 clinicians

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

OrganizationSpecialtyStatusNew patients
Progress Rehabilitation Network LLC Physical Therapist CurrentSince Jun 12, 2007 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.

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.

Verify at the official NPI Registry.