Brandon Robert Shreve, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001782 Issued in WV

Practice address

161 Bakers Ridge Rd
Morgantown, WV 26508-1459

Phone

(304) 285-0692

NPI assigned

Feb 13, 2019

Last updated

Feb 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1033675186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BEECHURST AVE APT 309",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055794",
            "telephone_number": "304-639-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BAKERS RIDGE RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081459",
            "telephone_number": "304-285-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "001782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Shook-Baird
• Nicholas Shorter, MD
• Molly Shott
• Pamela Sue Showman, RN
• Carl Dean Shrader Jr., M.D., PH.D.
• Janice K Shreve, ACNS
• Jason C Shreve, DPT
• Alec Shriner, DR.
• Nicholas Lee Shriver, M.S., BCBA, LBA
• Billie Jane Shrout

• Physical Therapy Assistant in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.