Individual provider Active NPI

Leslie Kerr, DPT

  • Physical Therapist
  • Berryville, VA
National Provider Identifier
1063949154
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209015 Issued in VA
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

Updated by the provider on Jul 21, 2022

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 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 IDStateProvider typePAC IDDetails
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
Berryville Physical Therapy and Wellness PLLCGroup PAC ID 4587737234, 6 clinicians

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

LicenseStateTypeSpecialty
2305209015VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Berryville Physical Therapy and Wellness, PLLC Physical Therapist CurrentSince Jun 6, 2017 Accepting new patients
Dr Krawchuk PLC PastSince Jun 6, 2017 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.

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.

Verify at the official NPI Registry.