Krissa L Wharton

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A4084 Issued in NC

Practice address

1075 US Highway 17 S
Elizabeth City, NC 27909-7628

Phone

(252) 338-3975

NPI assigned

Aug 3, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217721600000",
    "number": "1497911010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 RIVERWOOD DR",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279449669",
            "telephone_number": "252-340-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 US HIGHWAY 17 S",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097628",
            "telephone_number": "252-338-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARTON",
        "first_name": "KRISSA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A4084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Weaver
• Jeffrey Weedon, RBT
• Larissa Ann Wertalik, DO
• John Martin Whalen, CRNA
• Sherry Renee Whaley
• Malori Ann White-Jefferson
• Adam Kyle White, PA-C
• Brittany Taylor White, CFM
• Lindsey Lee White, MD
• Marvin D White

• Physical Therapy Assistant in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.