Winchester Physical Therapy & Sports Medicine, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

00269 Issued in WV

Legal business name

WINCHESTER PHYSICAL THERAPY & SPORTS MEDICINE, INC.

Practice address

112 S Reymann St
Ranson, WV 25438-1730

Phone

(304) 725-3632

Fax

(304) 725-8252

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Gregory T Humphreys, P.T.

Title

President

Phone

(304) 725-3632

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1073613238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S REYMANN ST",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381730",
            "telephone_number": "304-725-3632",
            "fax_number": "304-725-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S REYMANN ST",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381730",
            "telephone_number": "304-725-3632",
            "fax_number": "304-725-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER PHYSICAL THERAPY & SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-725-3632",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "00269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004944",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004945",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M Whitman, M.D.
• Stephanie Ann Whitmore
• William S Miller, MD, PC
• Alice Jean Wilt, PA
• Winchester Orthopaedic Physical Therapy LLC
• Tammy M Woomer
• Wvu Medical Corporation
• Wvu Medical Office Building
• Wvu Urgent Care Lab (University Health Associates)
• Ana Maria Yanez

• Specialist in Ranson, WV
• Providers in Ranson, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.