Active NPI
Austin Wernecke, PT
- Physical Therapist
- Winchester, VA
National Provider Identifier
1265029672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305214103
- Practice address
- 3052 Valley Ave Ste 101
Winchester, VA 22601-2672 - Phone
- (540) 535-7222
- Fax
- (540) 535-1271
- NPI assigned
- Dec 31, 2020
- Sex
- Male
- 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 | 2305214103 | VA | Primary |
Addresses
Primary practice location
3052 Valley Ave Ste 101
Winchester, VA 22601-2672
Mailing address
3052 Valley Ave Ste 101
Winchester, VA 22601-2672
Phone (540) 535-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305214103 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1265029672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3052 VALLEY AVE STE 101",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012672",
"telephone_number": "540-535-7222",
"fax_number": "540-535-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3052 VALLEY AVE STE 101",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012672",
"telephone_number": "540-535-7222",
"fax_number": "540-535-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNECKE",
"first_name": "AUSTIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-31",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.