Individual provider Active NPI

Kerry Michelle Winge, PT

  • Physical Therapist
  • Morgantown, WV
National Provider Identifier
1659447803
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001978 Issued in WV
Practice address
1085 Van Voorhis Rd
Suite 200
Morgantown, WV 26505-3497
Phone
(304) 599-9250
Fax
(304) 599-9254
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 001978 WV Primary

Addresses

Primary practice location

1085 Van Voorhis Rd
Suite 200
Morgantown, WV 26505-3497

Mailing address

1011 Deerwood Dr
Morgantown, WV 26508-9178
Phone (304) 594-0016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201000860 WV Practitioner - Physical Therapist in Private Practice 0345654497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelvic Health Physical Therapy of Morgantown LLCGroup PAC ID 8527472679, 2 clinicians

Practice addresses (Care Compare)

300 Wedgewood Dr
Suite 132
Morgantown, WV 26505-2452
Phone (304) 867-4188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001978WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pelvic Health Physical Therapy of Morgantown, LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

300 Wedgewood Dr
Ste 132
Morgantown, WV 26505
Phone (304) 282-6497

Organizations & group practices 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659447803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 DEERWOOD DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089178",
            "telephone_number": "304-594-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 VAN VOORHIS RD",
            "address_2": "SUITE 200",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053497",
            "telephone_number": "304-599-9250",
            "fax_number": "304-599-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGE",
        "first_name": "KERRY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.