Individual provider Active NPI

Kiley Cardo, PT

  • Physical Therapist
  • Lynchburg, VA
National Provider Identifier
1912601253
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214535 Issued in VA
Practice address
125 Nationwide Dr
Lynchburg, VA 24502-4272
Phone
(434) 200-7860
Fax
(434) 200-7868
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 2305214535 VA Primary

Addresses

Primary practice location

125 Nationwide Dr
Lynchburg, VA 24502-4272

Mailing address

3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone (434) 200-7600

Other names 1

  • Kiley Thompson Bartholomew Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606002354 VA Practitioner - Physical Therapist in Private Practice 1254798200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Outpatient Rehabilitation Services LLCGroup PAC ID 4789909987, 29 clinicians

Practice addresses (Care Compare)

125 Nationwide Dr
Lynchburg, VA 24502-4272
Phone (434) 200-7860

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
87.16
Improvement activities
40
Cost
79.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305214535VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Outpatient Rehabilitation Services LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients

Locations

1710 Whitfield Dr
Bedford, VA 24523
Phone (540) 586-0636

935 S Main St
Farmville, VA 23901
Phone (434) 315-5340

291 McBride Ln
Gretna, VA 24557
Phone (434) 656-1274

125 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 200-3908

2125 Langhorne Rd
Ste 205
Lynchburg, VA 24501
Phone (434) 200-4200

3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668

693 Leesville Rd
Lynchburg, VA 24502
Phone (434) 200-5750

801 Wyndhurst Dr
Lynchburg, VA 24502
Phone (434) 237-8160

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": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1912601253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032030",
            "telephone_number": "434-200-7600",
            "fax_number": "434-200-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NATIONWIDE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024272",
            "telephone_number": "434-200-7860",
            "fax_number": "434-200-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDO",
        "first_name": "KILEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KILEY",
            "last_name": "BARTHOLOMEW",
            "middle_name": "THOMPSON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.