Individual provider Active NPI

Kathryn R. Wason, DPT

  • Sports Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1033751300
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
2305212074 Issued in VA
Practice address
285 Hydraulic Ridge Road
Suite 4
Charlottesville, VA 22901-8126
Phone
(434) 817-0980
Fax
(434) 817-0985
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 2305212074 VA Primary

Addresses

Primary practice location

285 Hydraulic Ridge Road
Suite 4
Charlottesville, VA 22901-8126

Mailing address

285 Hydraulic Ridge Road
Suite 4
Charlottesville, VA 22901-8126
Phone (434) 817-0980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307002307 DE Practitioner - Physical Therapist in Private Practice 3274943907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ud Health LLCGroup PAC ID 6204209034, 53 clinicians

Practice addresses (Care Compare)

540 S College Ave
Suite 160
Newark, DE 19713-1302
Phone (302) 831-8893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ud Health LLC CurrentSince Jan 1, 2023 Accepting new patients
Ud Health LLC CurrentSince Jan 1, 2023 Accepting new patients
Ud Health LLC Past Accepting new patients
Balance Chiropractic, PLC PastSince Oct 1, 2019 Accepting new patients

Locations

540 S College Ave
Ste 160
Newark, DE 19713
Phone (302) 831-3000

625 S College Ave
Ste 135
Newark, DE 19716

100 Discovery Blvd
Rm 727
Newark, DE 19713

Interoperability endpoints

  • Direct secure messaging: kathryn.wason.p1@direct.udel.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1033751300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 HYDRAULIC RIDGE ROAD",
            "address_2": "SUITE 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018126",
            "telephone_number": "434-817-0980",
            "fax_number": "434-817-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 HYDRAULIC RIDGE ROAD",
            "address_2": "SUITE 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018126",
            "telephone_number": "434-817-0980",
            "fax_number": "434-817-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASON",
        "first_name": "KATHRYN",
        "middle_name": "R.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VA",
            "license": "2305212074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.