NPIMap

Organization Active NPI

Calvert Rehabilitation Group, Inc.

  • Physical Therapy Clinic/Center
  • Morgantown, WV
National Provider Identifier
1043676711
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CALVERT REHABILITATION GROUP, INC.
Practice address
74 Erin Dr
Morgantown, WV 26508-1371
Phone
(304) 594-2500
Fax
(304) 594-9310
NPI assigned
Jan 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Paul CalvertNPI 1174526800
Title
Owner
Phone
(304) 777-3356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

74 Erin Dr
Morgantown, WV 26508-1371

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106

Other names 1

  • Lakeside Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160323000471 WV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981901733 Receives reassigned benefits from 4 practitioners
Practice locations: Morgantown, WV

National Provider Directory

National Provider Directory

Locations

74 Erin Dr
Morgantown, WV 26508
Phone (304) 594-2500

2195 Cheat Rd
Morgantown, WV 26508
Phone (304) 400-6145

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1043676711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-242-7106",
            "fax_number": "304-242-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ERIN DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081371",
            "telephone_number": "304-594-2500",
            "fax_number": "304-594-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT REHABILITATION GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-777-3356"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.