Gassaway Glenville Physical Therapy Specialists

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GASSAWAY GLENVILLE PHYSICAL THERAPY SPECIALISTS

Practice address

155 Reston PL
Gassaway, WV 26624-9356

Phone

(304) 364-9191

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Kevin Charles Boring, PTNPI 1174637805

Title

Owner

Phone

(304) 364-9191

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kevin C Boring, MPT

  • Specialist
  • Gassaway, WV
  • NPI 1174637805
  NPD (past) Authorized official

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1043681208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 RESTON PL",
            "city": "GASSAWAY",
            "state": "WV",
            "postal_code": "266249356",
            "telephone_number": "304-364-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 RESTON PL",
            "city": "GASSAWAY",
            "state": "WV",
            "postal_code": "266249356",
            "telephone_number": "304-364-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASSAWAY GLENVILLE PHYSICAL THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "BORING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-364-9191",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaila Lynn Fleming
• Tessa Marie Fleming
• Michael Lee Frame Jr., CRNA
• Darla Kay Gant, M.D.
• Gassaway Drug Company
• Gassaway Glenville Physical Therapy Specialits, Inc
• Elizabeth Suzanne Gibson, PT
• Kathryn Giles
• Alana A Gillenwater, DPT
• William Douglas Given, MD

• Physical Therapy Clinic/Center in Gassaway, WV
• Providers in Gassaway, WV by specialty
• Physical Therapy Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.