Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kassidy W Lingenfelter, DPT

Individual provider Physical Therapist · NPI 1609542612

Kassidy W Lingenfelter, DPT is registered under Physical Therapist in Private Practice in Fairfax, Virginia. Qualified in 2021, 5 years ago. Practices with Thomas a Brady Sports Medicine Center, PC, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Virginia.

Years since qualifying
5
Licensed in
IN, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

8270 Willow Oaks Corporate Dr Ste 700
Fairfax, VA 22031-4529
Phone: (703) 810-5218
Fax: (703) 810-5406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1401 W County Line Rd, Greenwood, IN 46142-5195 — (317) 817-1200

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305218068 (VA)
Physical Therapist Taxonomy 225100000X · Licence 05014288A (IN)

Record details

NPI number1609542612
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 19, 2021
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Thomas A Brady Sports Medicine Center, Pc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients92
Services billed 2,531 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Thomas a Brady Sports Medicine Center, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 96 clinicians in the practice; 12 are shown here.

Other providers in Fairfax