Active NPI
Kimberly Guinee, MSPT
- Physical Therapist
- Lorton, VA
National Provider Identifier
1992839880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004528
- Practice address
- 7700B Gunston PLZ
Lorton, VA 22079-1897 - Phone
- (703) 339-3767
- Fax
- (703) 339-3793
- NPI assigned
- Mar 15, 2007
- 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 | 2305004528 | VA | Primary |
Addresses
Primary practice location
7700B Gunston PLZ
Lorton, VA 22079-1897
Mailing address
7700B Gunston PLZ
Lorton, VA 22079-1897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120326000287 | DC | Practitioner - Physical Therapist in Private Practice | 8022278282 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9447 B Lorton Market St
Suite 250
Lorton, VA 22079-1963
Phone (703) 372-5716
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305004528 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Performance Physical Therapy,LLC | Physical Therapist | Past | Accepting new patients |
Locations
9447B Lorton Market St
#250
Lorton, VA 22079
Phone (703) 372-5716
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
- Lorton, VA
- NPI 1992730469
DC, Physical Therapist
-
- Orthopedic Physical Therapist
- Lorton, VA
- NPI 1487889135
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1992839880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700B GUNSTON PLZ",
"city": "LORTON",
"state": "VA",
"postal_code": "220791897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700B GUNSTON PLZ",
"city": "LORTON",
"state": "VA",
"postal_code": "220791897",
"telephone_number": "703-339-3767",
"fax_number": "703-339-3793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUINEE",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305004528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.