Individual provider Active NPI

Vanessa S Watring, DPT

  • Physical Therapist
  • Bruceton Mills, WV
National Provider Identifier
1053741868
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 003248 Issued in WV
Practice address
37 Morgantown St
Bruceton Mills, WV 26525
Phone
(304) 379-7678
Fax
(304) 379-4937
NPI assigned
Nov 14, 2013
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 003248 WV Primary

Addresses

Primary practice location

37 Morgantown St
Bruceton Mills, WV 26525

Mailing address

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

Other practice location 1

298 S Price St
Kingwood, WV 26537
Phone (304) 329-3908

Other names 1

  • Vanessa Noss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 003248WVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1053741868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MEMORIAL DR",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371141",
            "telephone_number": "304-329-1400",
            "fax_number": "304-329-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MORGANTOWN ST",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "26525",
            "telephone_number": "304-379-7678",
            "fax_number": "304-379-4937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 S Price St",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "26537",
            "country_code": "US",
            "telephone_number": "304-329-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATRING",
        "first_name": "VANESSA",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT 003248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "NOSS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bruceton Mills, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.