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Karington Nicole Ketterer, PT, DPT

NPI 1114619319ActiveIndividual· Physical Therapist· Arlington, VA

Physical Therapist (PT, DPT) with Tidewater Physical Therapy LLC and 1 other group, practicing in Arlington, Virginia. Medicare paid $32,534 for services to 55 patients in 2024.

Overview

NPI1114619319
StatusActive
Entity typeIndividual
CredentialPT, DPT
Sole proprietorNo
NPI issuedMay 24, 2023
Last updated in NPPESMar 4, 2026
Certified by providerMar 4, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X2305215799VA
Physical Therapist225100000XPT004645WV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (DC); Practitioner - Physical Therapist in Private Practice (VA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients55
Services billed1,342 across 7 procedure codes
Paid by Medicare$32,534

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyPhysical Therapist In Private Practice

Medical groups

Source: CMS Care Compare

Other physical therapists in Arlington

All 232 physical therapists in Arlington · All physical therapists in Virginia