Individual provider Active NPI

Lauren Corinne Wenger, DPT

  • Physical Therapist
  • Williamsburg, VA
National Provider Identifier
1992009641
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206753 Issued in VA
Practice address
201 Bulifants Blvd Ste B
Williamsburg, VA 23188-5731
Phone
(757) 229-9740
Fax
(757) 229-9741
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 2305206753 VA Primary

Addresses

Primary practice location

201 Bulifants Blvd Ste B
Williamsburg, VA 23188-5731

Mailing address

5388 Discovery Park Blvd Ste 200
Williamsburg, VA 23188-8218
Phone (757) 707-3955

Other practice location 1

3221 Peoples Dr
Ste 110
Harrisonburg, VA 22801-7622
Phone (540) 638-2478

Other practice location 2

5388 Discovery Park Blvd Ste 100
Williamsburg, VA 23188-8218
Phone (757) 903-4230

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305206753VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Chiropractic, LLC CurrentSince Jun 3, 2019 Accepting new patients

Locations

109 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740

201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740

5388 Discovery Park Blvd
Ste 200
Williamsburg, VA 23188

5388 Discovery Park Blvd
Ste 100
Williamsburg, VA 23188
Phone (757) 707-3955

Organizations & group practices 1

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1992009641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5388 DISCOVERY PARK BLVD STE 200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888218",
            "telephone_number": "757-707-3955",
            "fax_number": "757-603-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BULIFANTS BLVD STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885731",
            "telephone_number": "757-229-9740",
            "fax_number": "757-229-9741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 Peoples Dr",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228017622",
            "country_code": "US",
            "telephone_number": "540-638-2478",
            "fax_number": "540-908-4801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5388 Discovery Park Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888218",
            "country_code": "US",
            "telephone_number": "757-903-4230",
            "fax_number": "757-903-4231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENGER",
        "first_name": "LAUREN",
        "middle_name": "CORINNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.