KIERSTIN MIREKU
NPI 1720706583
Physical Therapist in Fairfax, VA

Active since August 18, 2022Accepts Medicare Assignment
10521 ROSEHAVEN ST, # 150 LL, FAIRFAX, VA 22030(703) 383-1616 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2023, Feb 6, 2023, Aug 18, 2022 (3 updates tracked since 2022).

About Kierstin Mireku NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIERSTIN MIREKU (NPI 1720706583) is an individual physical therapist in Fairfax, Virginia, licensed in Virginia (2305215313) and active in the NPI registry since August 2022. She maintains a secondary practice location in Herndon and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720706583
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKIERSTIN MIREKU
Location Address10521 ROSEHAVEN ST, # 150 LLFairfax, VA 22030
Mailing Address10521 Rosehaven St, # 150 LlFairfax, VA 22030-2889 · (703) 383-1616 · Fax (703) 383-1166
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 18, 2022
Last NPPES UpdateJuly 18, 20233 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1720706583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in VA · 2305215313
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
10521 ROSEHAVEN ST, Fairfax, VA 22030

Secondary Practice Location 1

Location 1150 Elden St Ste 240Herndon, VA 20170-4845 · Phone (703) 689-3737 · Fax (703) 689-3889

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kierstin Mireku is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022480011
PECOS Enrollment IDI20230503001848

Medicare Billing Reassignments

4

Medicare enrollment records show Kierstin Mireku reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
10521 ROSEHAVEN ST STE LL150
Fairfax, VA 22030
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 9 clinicians in this Medicare group
Physical Therapist
8280 WILLOW OAKS CORPORATE DR STE 600
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 148 clinicians in this Medicare group
Physical Therapist
5900 FORT DR STE 208
Centreville, VA 20121
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 206 clinicians in this Medicare group
Physical Therapist
20098 ASHBROOK PL, SUITE 190
Ashburn, VA 20147
  • Reassigned Medicare billing, Virginia enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Obstetrics & Gynecology)
10521 ROSEHAVEN ST, SUITE LL 100
FAIRFAX, VA 22030
Obstetrics & Gynecology
10521 ROSEHAVEN ST, LL 100
FAIRFAX, VA 22030
Nurse Practitioner (Women's Health)
10521 ROSEHAVEN ST
FAIRFAX, VA 22030
Social Worker (Clinical)
10521 ROSEHAVEN ST
FAIRFAX, VA 22030
Nurse Practitioner (Psychiatric/Mental Health)
10521 ROSEHAVEN ST
FAIRFAX, VA 22030
Obstetrics & Gynecology
10521 ROSEHAVEN ST, SUITE LL 100
FAIRFAX, VA 22030
Durable Medical Equipment & Medical Supplies
10521 ROSEHAVEN ST, SUITE 180
FAIRFAX, VA 22030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kierstin Mireku's NPI number?

The NPI number for Kierstin Mireku is 1720706583. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Kierstin Mireku located?

Kierstin Mireku practices at 10521 Rosehaven St # 150 Ll, Fairfax, VA 22030. The listed phone number is (703) 383-1616.

What is Kierstin Mireku's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kierstin Mireku enrolled in Medicare?

Yes. Kierstin Mireku is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kierstin Mireku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kierstin Mireku reassigns Medicare benefits to 4 organizations: Excel Rehabilitation, PLLC (Fairfax, VA), Virginia Luna Care Physical Therapy LLC (Fairfax, VA), Jackson Clinics Limited Partnership (Centreville, VA) and Art Bronsord & Associates Physical Therapy L.L.C. (Ashburn, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kierstin Mireku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kierstin Mireku was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.