Individual provider Active NPI

Kelly Makay Wininger, PT

  • Physical Therapist
  • Salem, VA
National Provider Identifier
1205969086
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205542 Issued in VA
Practice address
2001 Ridgewood Dr
Salem, VA 24153-7126
Phone
(540) 378-4120
Fax
(540) 378-4121
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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 2305205542 VA Primary

Addresses

Primary practice location

2001 Ridgewood Dr
Salem, VA 24153-7126

Mailing address

2716 Millwheel Dr
Salem, VA 24153
Phone (423) 767-5689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808004009 VA Practitioner - Physical Therapist in Private Practice 7113241910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

1009 Old Country Club Rd NW
Roanoke, VA 24017-2927
Phone (888) 531-2204

1400 Enterprise Dr
Lynchburg, VA 24502-5768
Phone (888) 531-2204

3317 Ocean Shore Ave
Virginia Beach, VA 23451-1683
Phone (888) 531-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients

Locations

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

10286 Brook Rd
Glen Allen, VA 23059
Phone (571) 200-6617

1410 N Augusta St
#A
Staunton, VA 24401

3317 Ocean Shore Ave
Virginia Beach, VA 23451
Phone (757) 232-3179

Organizations & group practices 3

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1205969086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 MILLWHEEL DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "24153",
            "telephone_number": "423-767-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 RIDGEWOOD DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537126",
            "telephone_number": "540-378-4120",
            "fax_number": "540-378-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WININGER",
        "first_name": "KELLY",
        "middle_name": "MAKAY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.