Kristine L. Macdonnell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203842 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

Mar 6, 2007

Last updated

Jul 21, 2022By the provider in NPPES

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

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)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berryville Physical Therapy and Wellness, PLLC

  • Physical Therapist
  • Berryville, VA
  • NPI 1003083387
  Medicare reassignment Care Compare group 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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184754897",
    "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": "MACDONNELL",
        "first_name": "KRISTINE",
        "middle_name": "L.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Harrison Lickey, MSW
• Joseph Michael Lins
• Bartlee Linton, OTR/L
• Loudoun Medical Group, PC (Loudoun Community Midwives)
• Loudoun Medical Group, PC (Loudoun Pediatric Associates)
• Janet Michelle Mackenzie, PH.D.
• Vicki S. Mainello, PTA
• Nicole Christine Malony, D.D.S.
• Phillip Marsh
• Russel Brick McKelway, MD

• Physical Therapist in Berryville, VA
• Providers in Berryville, VA by specialty
• Physical Therapist 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.
• 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.