Bart Elkins
Individual provider Active NPI Physical Therapy Assistant · Marmet, WV
NPI 1013142579 · NPPES record last updated May 27, 2009
Key facts
- NPI
- 1013142579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1079 (WV)
- Practice address
- 1 Sutphin Dr
Marmet, WV 25315-1977 - Phone
- (304) 949-1580
- NPI assigned
- May 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1079 | WV | Yes |
Addresses
Primary practice location
1 Sutphin Dr
Marmet, WV 25315-1977
Mailing address
1 Sutphin Dr
Marmet, WV 25315-1977
NPI Registry JSON
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1013142579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SUTPHIN DR",
"city": "MARMET",
"state": "WV",
"postal_code": "253151977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SUTPHIN DR",
"city": "MARMET",
"state": "WV",
"postal_code": "253151977",
"telephone_number": "304-949-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINS",
"first_name": "BART",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-27",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "1079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marmet, WV
- Sarah Elizabeth Crowder
- Michelle Ann Daniels II
- Ashley Loryn Dewitt
- Kayla Dills
- Kristi Lynn Dunfee
- Mlyn Elizabeth Farris
- Brittany Fisher
- Bethany Ann Frye
- Alan Leslie Gaum
- Daniel Bradford Harkins
All providers in Marmet, WV · Physical Therapy Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.