MRS. KIMBERLY KENNA RODRIGUEZ (DPT) – Orthopedic Physical Therapist, NPI 1629382569

MRS. KIMBERLY KENNA RODRIGUEZ (DPT) is a healthcare provider. based in Winchester, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2305206468 (VA). The NPI Number for MRS. KIMBERLY KENNA RODRIGUEZ (DPT) is 1629382569

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY KENNA RODRIGUEZ (DPT)
NPI
1629382569
Phone
(540) 327-5186
Address
117 CANYON RD
Enumeration Date
3 August 2010
Last Update Date
31 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5409551837
Graduation Year
2010 (16 years ago)
PAC ID
1951778224
Group Practice PAC ID
4587737234
Professional Enrollment ID
I20221031001754
Address ID
VA226111024BE322XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for MRS. KIMBERLY KENNA RODRIGUEZ (DPT)

  • 117 CANYON RD

    WINCHESTER, VA 226027027

    Phone: (540) 327-5186

    Type: Mailing

  • 322 N BUCKMARSH ST STE A

    BERRYVILLE, VA 226111024

    Phone: (540) 955-1837

    Type: Location

  • 760 CAREFREE LN

    BOYCE, VA 226203151

    Phone: (540) 837-2148

    Type: Mailing

  • 17340 PICKWICK DR

    PURCELLVILLE, VA 201326181

    Phone: (540) 338-0685

    Fax: (540) 338-0687

    Type: Location

  • 1415 Amherst St

    Winchester, VA 226013009

    Phone: (540) 662-3888

    Type: Location

  • 17340 Pickwick Dr

    Purcellville, VA 201326181

    Phone: (540) 338-0685

    Fax: (540) 338-0687

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221031001754IPhysical Therapist In Private PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes54382$0
97530Therapy procedure using functional activities40260$0
97140Therapy procedure using manual technique, each 15 minutes24955$0
97161Evaluation for physical therapy, typically 20 minutes1716$0
97162Evaluation for physical therapy, typically 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 22602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587737234View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What number should I use to identify MRS. KIMBERLY KENNA RODRIGUEZ (DPT) for billing?
Administrative and clinical systems typically use NPI 1629382569 for MRS. KIMBERLY KENNA RODRIGUEZ (DPT).
Is MRS. KIMBERLY KENNA RODRIGUEZ (DPT)'s NPI status active today?
Active status means MRS. KIMBERLY KENNA RODRIGUEZ (DPT)'s NPI record is not deactivated in the public file.
How should patients interpret MRS. KIMBERLY KENNA RODRIGUEZ (DPT)'s specialty?
The extract shows Orthopedic Physical Therapist for MRS. KIMBERLY KENNA RODRIGUEZ (DPT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. KIMBERLY KENNA RODRIGUEZ (DPT)?
MRS. KIMBERLY KENNA RODRIGUEZ (DPT) is associated with Winchester, Virginia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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