Summit Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001084 Issued in WV

Legal business name

SUMMIT PHYSICAL THERAPY INC

Practice address

621 N Chester St
New Cumberland, WV 26047-9604

Phone

(304) 564-1098

Fax

(304) 564-5020

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Nicholas Martin

Title

Owner

Phone

(304) 564-1098

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1003032053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PENCO RD",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623822",
            "telephone_number": "304-723-3780",
            "fax_number": "304-723-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N CHESTER ST",
            "city": "NEW CUMBERLAND",
            "state": "WV",
            "postal_code": "260479604",
            "telephone_number": "304-564-1098",
            "fax_number": "304-564-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-564-1098"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004835",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "=========",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000745331",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Salerno
• Denise Margaret Schwab
• Ladonna Marie Smith
• Lindsey Spilecki
• Roger Stewart Jr.
• Zackary A Warner, FNP-BC
• Angela Taylor Marie Wheeler
• Jody M. Williams Shenton
• Kenda Lee Williams
• Sandra Wisher

• Physical Therapist in New Cumberland, WV
• Providers in New Cumberland, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.