Active NPI
Leslie Kerr, DPT
- Physical Therapist
- Berryville, VA
National Provider Identifier
1063949154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305209015
- Practice address
- 322 N Buckmarsh St Ste a
Berryville, VA 22611-1024 - Phone
- (540) 955-1837
- Fax
- (540) 955-1838
- NPI assigned
- May 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305209015 | VA | Primary |
Addresses
Primary practice location
322 N Buckmarsh St Ste a
Berryville, VA 22611-1024
Mailing address
322 N Buckmarsh St Ste a
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170804001559 | VA | Practitioner - Physical Therapist in Private Practice | 6406127703 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
322 N Buckmarsh St
Suite a
Berryville, VA 22611-1024
Phone (540) 955-1837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305209015 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berryville Physical Therapy and Wellness, PLLC | Physical Therapist | Current | Accepting new patients |
| Dr Krawchuk PLC | Past | Accepting new patients |
Locations
322 N Buckmarsh St
Ste A
Berryville, VA 22611
Phone (540) 955-1837
Organizations & group practices 2
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.
-
- Physical Therapist
- Berryville, VA
- NPI 1003083387
-
- Chiropractor
- Berryville, VA
- NPI 1679808174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063949154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 N BUCKMARSH ST STE A",
"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 A",
"city": "BERRYVILLE",
"state": "VA",
"postal_code": "226111024",
"telephone_number": "540-955-1837",
"fax_number": "540-955-1838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "LESLIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209015",
"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 Jul 21, 2022; 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.