Courtney Patricia Vanwie, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214657 Issued in VA

Practice address

6733 Curran St Ste 100
MC Lean, VA 22101-6032

Phone

(703) 448-0259

NPI assigned

Aug 27, 2021

Sex

Female

Sole proprietor

Yes

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1992472823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 GEORGE C MARSHALL DR APT 901",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432580",
            "telephone_number": "410-294-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 CURRAN ST STE 100",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016032",
            "telephone_number": "703-448-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWIE",
        "first_name": "COURTNEY",
        "middle_name": "PATRICIA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in MC Lean, VA
• Providers in MC Lean, 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 30, 2021; 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.