Provider Demographics
NPI:1841298601
Name:NEWMAN, KARIE LEIGH (DPT)
Entity type:Individual
Prefix:DR
First Name:KARIE
Middle Name:LEIGH
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 DARBY DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-6758
Mailing Address - Country:US
Mailing Address - Phone:540-723-0247
Mailing Address - Fax:
Practice Address - Street 1:3052 VALLEY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2673
Practice Address - Country:US
Practice Address - Phone:540-535-7222
Practice Address - Fax:540-535-1271
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202888225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010027462Medicaid
VAC08806Medicare ID - Type UnspecifiedMEDICARE GROUP
VA00V568B06Medicare UPIN