Active NPI
John W Staggers III, PT
- Physical Therapist
- Keyser, WV
National Provider Identifier
1023063773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001354
- Practice address
- 160 N Sheridan Lane
Keyser, WV 26726 - Phone
- (304) 813-7839
- Fax
- (304) 822-4977
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001354 | WV | Primary |
Addresses
Primary practice location
160 N Sheridan Lane
Keyser, WV 26726
Mailing address
160 N Sheridan Lane
Keyser, WV 26726
Phone (304) 813-7839
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006 | Other | CAREFIRST BCBS OF DC NCA | |
| 0157287000 | Medicaid | WV | |
| 225928 | Other | MAMSI | |
| 53386804 | Other | MD | BLUECROSS BLUESHIELD |
| 650016655 | Other | RAILROAD MEDICARE | |
| 7178361 | Other | AETNA | |
| 1017320 | Other | WV | WORKERS COMPENSATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18038 | MD | MD | Social Worker |
| 001354 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staggers, Heare, & Whiteman, P.a. | Physical Therapist | Past | Accepting new patients |
| Staggers Heare & Whiteman PA | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Keyser, WV
- NPI 1447284633
-
- Physical Therapist
- Cumberland, MD
- NPI 1336193887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1023063773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 N SHERIDAN LANE",
"city": "KEYSER",
"state": "WV",
"postal_code": "26726",
"telephone_number": "304-813-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N SHERIDAN LANE",
"city": "KEYSER",
"state": "WV",
"postal_code": "26726",
"telephone_number": "304-813-7839",
"fax_number": "304-822-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGGERS",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "001354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS OF DC NCA",
"identifier": "0006",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0157287000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "225928",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "53386804",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "650016655",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7178361",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "1017320",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Keyser, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.