Krystle Amanda Wheelock, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206653 Issued in VA

Practice address

413 McClellan St
Berryville, VA 22611-1420

Phone

(540) 931-9856

NPI assigned

Aug 18, 2017

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 MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Aquaworx

  • Physical Therapist
  • Berlin, MD
  • NPI 1912204983
  Medicare reassignment NPD
• Shore Therapy Solutions, LLC

  • Physical Therapy Clinic/Center
  • Berlin, MD
  • NPI 1649932104

  Physical Therapist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1497271670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WARREN CIR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552762",
            "telephone_number": "540-631-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 MCCLELLAN ST",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111420",
            "telephone_number": "540-931-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELOCK",
        "first_name": "KRYSTLE",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Aleta Ward
• Diane Waters, CSW
• Kimberly Watson
• Ashley Beth Watterson
• Madilynne West, LCSW
• Mark Devan Whitacre
• Michael Anthony Wilfred
• Lelia May Williams, C.P.C
• Leslie J. Williams, PT/DPT
• Kelly Dawn Williamson, CNA

• 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 Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.