Bolivar-Harpers Ferry Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

001785 Issued in WV

Legal business name

BOLIVAR-HARPERS FERRY PHYSICAL THERAPY

Practice address

43 Panama St
Harpers Ferry, WV 25425

Phone

(304) 535-2400

Fax

(304) 535-2424

NPI assigned

Jun 23, 2006

Last updated

Nov 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi Simmons, MSPTNPI 1356359616

Title

Physical Therapist, Owner

Phone

(304) 535-2400

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heidi Carter Simmons, MSPT

  • Physical Therapist
  • Harpers Ferry, WV
  • NPI 1356359616
  NPD Authorized official
• Shannon Nykol Kitchen, MPT

  • Physical Therapist
  • Southern Pines, NC
  • NPI 1902080195
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1093741837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254250902",
            "telephone_number": "304-535-2400",
            "fax_number": "304-535-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 PANAMA ST",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "25425",
            "telephone_number": "304-535-2400",
            "fax_number": "304-535-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLIVAR-HARPERS FERRY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "304-535-2400",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WV",
            "license": "001785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006035",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE RAILROA",
            "identifier": "DD7208",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Bechtold
• Christopher Bellew, MD
• Caroline Ann Benzel
• Blue Ridge Mt. Volunteer Fire Co.
• Brandi Michelle Boho, CNA
• Brant Derwent Boucher, MD
• Miriam Boyer
• Isabella Bushman, MD
• Emily Lawrence Barsley Carrell, MD
• Centered Space Counseling, LLC

• Physical Therapy Clinic/Center in Harpers Ferry, WV
• Providers in Harpers Ferry, 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 Nov 13, 2012; 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.