Individual provider Active NPI

Victoria Wnuck

  • Physical Therapist
  • Athens, GA
National Provider Identifier
1316723224
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016843 Issued in GA
Practice address
1088C Baxter St
Athens, GA 30606-6316
Phone
(706) 549-7400
Fax
(706) 549-7399
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 PT016843 GA Primary

Addresses

Primary practice location

1088C Baxter St
Athens, GA 30606-6316

Mailing address

195 Miles St
Athens, GA 30601-1820
Phone (706) 546-1333

Other practice location 1

195 Miles St
Athens, GA 30601-1820
Phone (706) 546-1333

Other practice location 2

13231 Jones St
Lavonia, GA 30553-1162
Phone (706) 356-1333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226003667 GA Practitioner - Physical Therapist in Private Practice 4183069461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher E. Doerr, D.O., P.C.Group PAC ID 7517991482, 14 clinicians

Practice addresses (Care Compare)

1000 Hawthorne Ave
Suite N
Athens, GA 30606-2168
Phone (762) 315-0860

195 Miles St
Athens, GA 30601-1820
Phone (706) 546-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016843GAMDPhysical Therapist

Organizations & group practices 1

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1316723224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MILES ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011820",
            "telephone_number": "706-546-1333",
            "fax_number": "706-546-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088C BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066316",
            "telephone_number": "706-549-7400",
            "fax_number": "706-549-7399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Miles St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306011820",
            "country_code": "US",
            "telephone_number": "706-546-1333",
            "fax_number": "706-546-5807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13231 Jones St",
            "address_purpose": "LOCATION",
            "city": "Lavonia",
            "state": "GA",
            "postal_code": "305531162",
            "country_code": "US",
            "telephone_number": "706-356-1333",
            "fax_number": "706-356-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WNUCK",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.