Lincoln Nathaniel Kinkade, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3411 University Ave Ste 1
Morgantown, WV 26505-7219

Phone

(304) 598-2212

Fax

(304) 598-2258

NPI assigned

Sep 2, 2005

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

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Physical Therapy CorpGroup PAC ID 6800263955, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elevate Physical Therapy, Corp.

  • Physical Therapist
  • Fairmont, WV
  • NPI 1023743150
  Medicare reassignment Care Compare group NPD
• Dynamic Physical Therapy, Inc

  • Physical Therapist
  • Morgantown, WV
  • NPI 1487647004
  NPD Authorized official
• Fairmont Home Equipment & Supply Company

  • Oxygen Equipment & Supplies (DME)
  • Morgantown, WV
  • NPI 1356346357
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1083608202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 UNIVERSITY AVE STE 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265057219",
            "telephone_number": "304-598-2212",
            "fax_number": "304-225-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 UNIVERSITY AVE STE 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265057219",
            "telephone_number": "304-598-2212",
            "fax_number": "304-598-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3227 Earl L Core Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265089589",
            "country_code": "US",
            "telephone_number": "304-225-0910",
            "fax_number": "304-225-0949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINKADE",
        "first_name": "LINCOLN",
        "middle_name": "NATHANIEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "9335682",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "9335684",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157306000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "001708627",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "9335681",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF PT",
            "identifier": "001573",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "9335683",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxene King
• Michelle Lynn King, PHARMD
• Miranda Lynn King, M.D.
• Nicole King, LPC
• Mark Kingston, DDS
• David Michael Kinney, MD
• Eric Kinney, PHARMD, BCPS
• Jason Andrew Kinney, M.D.
• John Henson Kinney, MD
• Catherine Ann Kirbos, MD

• Physical Therapist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.