Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlin Mahoney

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871034850

Kaitlin Mahoney is a Family Practice in Blacksburg, Virginia. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2017, 9 years ago. Practices with Orthovirginia Inc, a 570-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
VA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

250 S Main St Ste 224A
Blacksburg, VA 24060-4726
Phone: (540) 552-7133
Fax: (540) 552-7143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1924 Alcoa Hwy # U-67, Knoxville, TN 37920-1511 — (865) 305-9350

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 0102206749 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871034850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2017
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2017 (9 years in practice)
Group practice Orthovirginia Inc — 570 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blacksburg