Active NPI
Janice Myra Wolfe, CMT, LMT
- Specialist
- Woodbridge, VA
National Provider Identifier
1447592613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0019009196
- Practice address
- 1372 Old Bridge Rd
Suite 102
Woodbridge, VA 22192-2708 - Phone
- (571) 723-8311
- NPI assigned
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0019009196 | VA | Primary |
Addresses
Primary practice location
1372 Old Bridge Rd
Suite 102
Woodbridge, VA 22192-2708
Mailing address
1372 Old Bridge Rd # 102
Woodbridge, VA 22192-2708
Phone (571) 723-8311
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019009196 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1447592613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1372 OLD BRIDGE RD # 102",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922708",
"telephone_number": "571-723-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1372 OLD BRIDGE RD",
"address_2": "SUITE 102",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922708",
"telephone_number": "571-723-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "JANICE",
"middle_name": "MYRA",
"credential": "CMT, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-26",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0019009196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.