Provider Demographics
NPI:1710053194
Name:HIGHFIELD, KATHI M (PT)
Entity Type:Individual
Prefix:
First Name:KATHI
Middle Name:M
Last Name:HIGHFIELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 BESLEY RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2005
Mailing Address - Country:US
Mailing Address - Phone:703-255-3483
Mailing Address - Fax:
Practice Address - Street 1:7143 SHREVE RD
Practice Address - Street 2:ACHIEVE BEYOND
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043
Practice Address - Country:US
Practice Address - Phone:703-237-2219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23050009392251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU02178665 02OtherCIGNA INSURANCE ID