Individual provider Active NPI

Jennifer Carter, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Winchester, VA
National Provider Identifier
1952507097
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0102204063 Issued in VA
Practice address
333 W Cork St
Suite 270
Winchester, VA 22601-3870
Phone
(540) 536-5121
Fax
(540) 536-5129
NPI assigned
Jun 25, 2007
Last updated
Feb 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS015857 PA
Physical Medicine & Rehabilitation Physician 208100000X 0102204063 VA Primary

Addresses

Primary practice location

333 W Cork St
Suite 270
Winchester, VA 22601-3870

Mailing address

PO Box 37517
Baltimore, MD 21297-3517
Phone (540) 536-7670

Other identifiers 1

IdentifierTypeStateIssuer
0102204063OtherVASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcarter112753@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150326000214 VA Practitioner - Physical Medicine and Rehabilitation 9638330772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc. CurrentSince May 1, 2015 Accepting new patients
Valley Physician Enterprise, Inc Physical Medicine & Rehabilitation CurrentSince May 1, 2015 Accepting new patients
Valley Physician Enterprise, Inc. Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

333 W Cork St
Ste 270
Winchester, VA 22601
Phone (540) 536-5121

Interoperability endpoints

  • Direct secure messaging: jcarter112753@soc.inova.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1952507097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37517",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973517",
            "telephone_number": "540-536-7670",
            "fax_number": "540-536-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W CORK ST",
            "address_2": "SUITE 270",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013870",
            "telephone_number": "540-536-5121",
            "fax_number": "540-536-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS015857",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0102204063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0102204063",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarter112753@soc.inova.org",
            "affiliation": "N",
            "address_1": "333 W Cork St",
            "address_2": "Suite 270",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.