KRISTIN BENTIVOGLI GOODMAN (NPI# 1972796910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972796910 |
| Entity Type | Individual |
| Full Name | KRISTIN BENTIVOGLI GOODMAN |
| Credential | DPT |
| Practice Address |
9685 Main St Ste B Fairfax VA 22031-3752 |
| Practice Telephone | 7039788400 |
| Mailing Telephone | 7039788400 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2305205066 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758109 | Kristin Colleen Goodman | Counselor | 8300 Alcott St Ste 101, Westminster, CO 80031-4000 | 2020-10-22 |
| Street Address |
9685 MAIN ST STE B |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-3752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609904341 | Therapy 4 Kids, LLC | Occupational Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-02 |
| 1225288723 | Carol Lorraine Wesley | Speech-Language Pathologist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2008-09-22 |
| 1437305067 | Jennifer Donato | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2008-08-14 |
| 1124299409 | Jeanne Kane | Speech-Language Pathologist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2008-03-14 |
| 1144413188 | Pooja Aggarwal | Speech-Language Pathologist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-08-23 |
| 1780716993 | Jeri Labov | Speech-Language Pathologist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| 1609908847 | Cara Kiernan | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| 1003948258 | Alice Blair | Occupational Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| 1487786687 | Amanda Sarafian | Occupational Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| 1619009834 | Jana Kammerer | Speech-Language Pathologist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760494629 | Christina Hr Allard | Physical Therapist | 34 Dewey Rd, Fairfax, VT 05454-9612 | 2006-08-12 |
| 1265907455 | Allison Nicole Kenney | Physical Therapist | 10805 Main St Ste 100, Fairfax, VA 22030-4729 | 2018-10-04 |
| 1063992980 | Jessica Barczi Zorn | Physical Therapist | 11350 Random Hills Rd Ste 885, Fairfax, VA 22030-6044 | 2018-08-20 |
| 1902141724 | Rachel Ratke | Physical Therapist | 8270 Willow Oaks Corporate Dr Ste 2120, Fairfax, VA 22031-4511 | 2012-12-05 |
| 1366747891 | Sheryl Kathleen Goncalves | Physical Therapist | 11240 Waples Mill Rd, Suite 101, Fairfax, VA 22030-6078 | 2011-01-13 |
| 1437305067 | Jennifer Donato | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2008-08-14 |
| 1609908847 | Cara Kiernan | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-12 |
| 1225167257 | Tracy Shiplett | Physical Therapist | 9685 Main St Ste B, Fairfax, VA 22031-3752 | 2007-03-05 |
| 1558382697 | Bonnie Kandel | Physical Therapist | 3750 Old Lee Hwy, Fairfax, VA 22030-1806 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334175 | Elizabeth Huff | Physical Therapist | 601 S Carlin Springs Rd Ste 505, Arlington, VA 22204-1044 | 2019-09-09 |
| 1851946503 | Courtney E Marin | Physical Therapist | 2235 Tacketts Mill Dr Bldg C, Woodbridge, VA 22192-3036 | 2019-08-08 |
| 1912475419 | Kelly Laughlin | Physical Therapist | 3544 36th Rd N, Arlington, VA 22207-4817 | 2018-11-02 |
| 1336622257 | Progressive Pediatric Therapy | Physical Therapist | 150 S. Washington St., #203, Falls Church, VA 22124 | 2018-09-07 |
| 1013413699 | Melissa Anne Casey | Physical Therapist | 778 Springsbury Rd, Berryville, VA 22611-1513 | 2018-04-03 |
| 1316443336 | Rhea Amber Whitlock | Physical Therapist | 615 East St, Blackstone, VA 23824-2231 | 2018-03-30 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1144758889 | Kristen Michelle Mcbee | Physical Therapist | 2781 Jefferson Davis Hwy, Stafford, VA 22554-8322 | 2017-05-25 |
| 1316313588 | Elizabeth Anne Brewer | Physical Therapist | 23 Curle Road, Hampton, VA 23669 | 2015-08-11 |
| 1912300377 | Kiley Coleman Gibbs | Physical Therapist | 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 | 2014-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.