NPIMap

Organization Active NPI

Rankin Physical Therapy LLC

  • Physical Therapist
  • Berkeley Springs, WV
National Provider Identifier
1104034073
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006006 Issued in WV
Legal business name
RANKIN PHYSICAL THERAPY LLC
Practice address
23 Fitness LN
Berkeley Springs, WV 25411-7080
Phone
(304) 258-1300
Fax
(304) 258-1400
NPI assigned
May 21, 2007
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Amanda Streeter
Title
Vice President
Phone
(800) 699-9395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 006006 WV Primary

Addresses

Primary practice location

23 Fitness LN
Berkeley Springs, WV 25411-7080

Mailing address

PO Box 932184
Atlanta, GA 31193-2184

Other practice location 1

104 N Mildred St
Ranson, WV 25438-1423
Phone (304) 932-0534

Other practice location 2

7330 Martinsburg Pike
Shepherdstown, WV 25443-3684
Phone (304) 876-1000

Other practice location 3

7330 Martinsburg Pike
Shepherdstown, WV 25443-3684
Phone (304) 876-1000

Other practice location 4

5724 Hammonds Mill Rd Ste G
Martinsburg, WV 25404-6491
Phone (304) 274-0123

Other practice location 5

1008 Tavern Rd Ste 200
Martinsburg, WV 25401-2801
Phone (304) 267-0866

Other practice location 6

8543 Winchester Ave
Inwood, WV 25428-4022
Phone (304) 229-1010

Other practice location 7

181 Roaring Lion Dr
Hedgesville, WV 25427-5965
Phone (304) 754-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050817000010 WV Part B Supplier - Clinic/Group Practice 9335179654 Receives reassigned benefits from 20 practitioners
Practice locations: Berkeley Springs, WV; Hedgesville, WV; Inwood, WV; Martinsburg, WV; Ranson, WV; Shepherdstown, WV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

23 Fitness Ln
Berkeley Springs, WV 25411
Phone (304) 258-1300

181 Roaring Lion Dr
Hedgesville, WV 25427
Phone (304) 754-6000

1008 Tavern Rd
Ste 200
Martinsburg, WV 25401
Phone (304) 264-4040

101 Maddex Square Dr
Shepherdstown, WV 25443
Phone (304) 876-1000

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1104034073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FITNESS LN",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254117080",
            "telephone_number": "304-258-1300",
            "fax_number": "304-258-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N Mildred St",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254381423",
            "country_code": "US",
            "telephone_number": "304-932-0534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 Martinsburg Pike",
            "address_purpose": "LOCATION",
            "city": "Shepherdstown",
            "state": "WV",
            "postal_code": "254433684",
            "country_code": "US",
            "telephone_number": "304-876-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 Martinsburg Pike",
            "address_purpose": "LOCATION",
            "city": "Shepherdstown",
            "state": "WV",
            "postal_code": "254433684",
            "country_code": "US",
            "telephone_number": "304-876-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5724 Hammonds Mill Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254046491",
            "country_code": "US",
            "telephone_number": "304-274-0123",
            "fax_number": "304-274-1819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Tavern Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012801",
            "country_code": "US",
            "telephone_number": "304-267-0866",
            "fax_number": "304-267-8348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8543 Winchester Ave",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "WV",
            "postal_code": "254284022",
            "country_code": "US",
            "telephone_number": "304-229-1010",
            "fax_number": "304-229-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 Roaring Lion Dr",
            "address_purpose": "LOCATION",
            "city": "Hedgesville",
            "state": "WV",
            "postal_code": "254275965",
            "country_code": "US",
            "telephone_number": "304-754-6000",
            "fax_number": "304-754-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RANKIN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-699-9395"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "006006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.