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

MS. Kelly Marie Cardillo, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1417412636

MS. Kelly Marie Cardillo, PTA is a Physical Medicine & Rehabilitation Physician in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

9229 Arlington Blvd
Fairfax, VA 22031-2504
Phone: (703) 277-6611
Fax: (703) 383-0206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2306603596 (VA)

Record details

NPI number1417412636
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 1, 2019
Last updated in NPPESFebruary 1, 2019

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