KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC – NPI #1003792037
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC is an AHC clinic located in WOODBRIDGE, VA. NPPES has assigned the NPI number 1003792037 to KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC on August 14, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Physical Therapy

The NPI profile was last updated on Oct 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC below.

NPI Profile for
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

NPI Number
1003792037
Enumeration Date

(about 10 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Primary location
13285 MINNIEVILLE RD STE 103
WOODBRIDGE, VA 22192-4018
Phone: (703) 986-2400 Fax:
Mailing address
4000 GARDEN CITY DR
HYATTSVILLE, MD 20785-2418
Phone: (301) 816-2424 Fax:
Organization Subpart
Yes - KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC is subpart of another organization.
Authorized Official
COLLEEN SWINTON
DIRECTOR, CREDENTIALING
Phone: (301) 257-2797
Updated
Certification Date
Oct 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2000X
- Clinic/Center / Physical Therapy (Primary)
261QX0100X
- Clinic/Center / Occupational Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
N
Endpoint Location
13285 MINNIEVILLE RD,
WOODBRIDGE, VA 77025-1669