NPIMap

Organization Active NPI

Berryville Physical Therapy and Wellness, PLLC

  • Physical Therapist
  • Berryville, VA
National Provider Identifier
1003083387
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305003575 Issued in VA
Legal business name
BERRYVILLE PHYSICAL THERAPY AND WELLNESS, PLLC
Practice address
322 N Buckmarsh St Ste C
Berryville, VA 22611-1024
Phone
(540) 955-1837
Fax
(540) 955-1838
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Leslie Joanne Williams, P.T.NPI 1801925458
Title
Physical Therapist/Member/Owner
Phone
(540) 955-1837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305003575 VA Primary

Addresses

Primary practice location

322 N Buckmarsh St Ste C
Berryville, VA 22611-1024

Mailing address

322 N Buckmarsh St Ste C
Berryville, VA 22611-1024
Phone (540) 955-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000664 VA Part B Supplier - Clinic/Group Practice 4587737234 Receives reassigned benefits from 7 practitioners
Practice locations: Berryville, VA

National Provider Directory

National Provider Directory

Locations

322 N Buckmarsh St
Ste A
Berryville, VA 22611
Phone (540) 955-1837

322 N Buckmarsh St
Ste C
Berryville, VA 22611
Phone (540) 955-1837

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1003083387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N BUCKMARSH ST STE C",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111024",
            "telephone_number": "540-955-1837",
            "fax_number": "540-955-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N BUCKMARSH ST STE C",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111024",
            "telephone_number": "540-955-1837",
            "fax_number": "540-955-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRYVILLE PHYSICAL THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/MEMBER/OWNER",
        "authorized_official_telephone_number": "540-955-1837",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.