Provider Demographics
NPI:1588749196
Name:PERKINS, AARON KYLE (PT, DPT, OCS, CSCS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:KYLE
Last Name:PERKINS
Suffix:
Gender:M
Credentials:PT, DPT, OCS, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3695 FETTLER PARK DR
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-2049
Mailing Address - Country:US
Mailing Address - Phone:571-427-4378
Mailing Address - Fax:571-833-4378
Practice Address - Street 1:3695 FETTLER PARK DR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-2049
Practice Address - Country:US
Practice Address - Phone:571-427-4378
Practice Address - Fax:571-833-4378
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251X0800X
VA2305204358225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA192056OtherANTHEM
VA192012OtherANTHEM
VA1588749196Medicaid
VA192056OtherANTHEM
VAC06575Medicare PIN