Active NPI
Kevin M. Dandy
- Physical Therapist
- Reston, VA
National Provider Identifier
1912079310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203243
- Practice address
- 11800 Sunrise Valley Dr
100
Reston, VA 20191 - Phone
- (703) 709-1116
- Fax
- (703) 709-5134
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- 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 | 2305203243 | VA | Primary |
Addresses
Primary practice location
11800 Sunrise Valley Dr
100
Reston, VA 20191
Mailing address
4307 11TH St N
Arlington, VA 22201-4748
Phone (703) 351-9536
Other practice location 1
1831 Wiehle Ave
Reston, VA 20190-5266
Phone (703) 709-1116
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, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11800 Sunrise Valley Dr
Suite 100
Reston, VA 20191-5309
Phone (703) 709-1116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1912079310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4307 11TH ST N",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222014748",
"telephone_number": "703-351-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 SUNRISE VALLEY DR",
"address_2": "100",
"city": "RESTON",
"state": "VA",
"postal_code": "20191",
"telephone_number": "703-709-1116",
"fax_number": "703-709-5134"
}
],
"practiceLocations": [
{
"address_1": "1831 Wiehle Ave",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201905266",
"country_code": "US",
"telephone_number": "703-709-1116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANDY",
"first_name": "KEVIN",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
- Edward Lee Curtis III, LPC
- Custom Care Team, Inc. (Med Team Therap)
- Julia Grace Cyr, NP
- Gurinder K Dabhia, M.D
- Yauri Sabrinthia Dalencour
- Daniel G. Turgeon, MD, Facs, PLLC (Reston Surgical Associates)
- Daniel Poth, O.D. and Associates, P.C. (Visionworks Doctors of Optometry)
- Daniel Poth, O.D. and Associates, P.C. (Visionworks Doctors of Optometry)
- Joancy Daniel, LCSW
- Nancy A Darmory, CPNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.