Joseph David Lippoli, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001586 Issued in WV

Practice address

345 Pocahontas Trail
Route 92
White Sulphur Springs, WV 24986

Phone

(304) 536-4661

NPI assigned

Dec 3, 2010

Last updated

Dec 3, 2010By 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": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1043512536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PARLIAMENT RD",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188432",
            "telephone_number": "304-639-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 POCAHONTAS TRAIL",
            "address_2": "ROUTE 92",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "24986",
            "telephone_number": "304-536-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPOLI",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "001586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in White Sulphur Springs, WV
• Providers in White Sulphur Springs, 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 Dec 3, 2010; 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.