Vicki S. Mainello, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306001393 Issued in VA

Practice address

322 North Buckmarsh St.
Suite a
Berryville, VA 22611-1025

Phone

(540) 955-1837

Fax

(540) 955-1838

NPI assigned

Jul 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Berryville Physical Therapy and Wellness, PLLC

  • Physical Therapist
  • Berryville, VA
  • NPI 1003083387
  NPD
• Dr Krawchuk PLC

  • Chiropractor
  • Berryville, VA
  • NPI 1679808174
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114183191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NORTH BUCKMARSH ST.",
            "address_2": "SUITE A",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111025",
            "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 NORTH BUCKMARSH ST.",
            "address_2": "SUITE A",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111025",
            "telephone_number": "540-955-1837",
            "fax_number": "540-955-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINELLO",
        "first_name": "VICKI",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartlee Linton, OTR/L
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Kristine L. Macdonnell, PT
• Janet Michelle Mackenzie, PH.D.
• Nicole Christine Malony, D.D.S.
• Phillip Marsh
• Russel Brick McKelway, MD
• Tara Jo Moyer, IBCLC
• Ashley Neumann, DPT, PT

• Physical Therapy Assistant in Berryville, VA
• Providers in Berryville, VA by specialty
• Physical Therapy Assistant in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.