NPIMap

Organization Active NPI

Advanced Center for Physical Therapy, PLC

  • Physical Therapy Clinic/Center
  • Barboursville, VA
National Provider Identifier
1013169473
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8658 Issued in VA
Legal business name
ADVANCED CENTER FOR PHYSICAL THERAPY, PLC
Practice address
5928 Seminole TRL
Suite 103
Barboursville, VA 22923-2831
Phone
(434) 985-2198
Fax
(434) 985-3227
NPI assigned
Oct 16, 2008
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Lauren Lau
Title
Director of Credentialing
Phone
(724) 989-4564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8658 VA Primary

Addresses

Primary practice location

5928 Seminole TRL
Suite 103
Barboursville, VA 22923-2831

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9573
Phone (724) 584-5739

National Provider Directory

National Provider Directory
Tax ID family
Advanced Center for Physical Therapy PLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1013169473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "724-584-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 SEMINOLE TRL",
            "address_2": "SUITE 103",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229232831",
            "telephone_number": "434-985-2198",
            "fax_number": "434-985-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CENTER FOR PHYSICAL THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "724-989-4564"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "8658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.