Individual provider Active NPI

Alec Shriner, DR.

  • Physical Therapist
  • Morgantown, WV
National Provider Identifier
1114767316
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004768 Issued in WV
Practice address
3227 Earl L Core Rd
Morgantown, WV 26508-9589
Phone
(304) 225-0910
NPI assigned
May 28, 2024
Last updated
May 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004768 WV Primary

Addresses

Primary practice location

3227 Earl L Core Rd
Morgantown, WV 26508-9589

Mailing address

3411 University Ave
Morgantown, WV 26505-7219

Other practice location 1

3411 University Ave
Morgantown, WV 26505-7219
Phone (304) 598-2212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719002929 WV Practitioner - Physical Therapist in Private Practice 2567908049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Physical Therapy IncGroup PAC ID 8224934708, 5 clinicians

Practice addresses (Care Compare)

3411 University Ave
Suite 1
Morgantown, WV 26505-7240
Phone (304) 598-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT004768WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy, Inc Physical Therapist CurrentSince Apr 18, 2024 Accepting new patients

Locations

3227 Earl L Core Rd
Morgantown, WV 26508
Phone (304) 225-0910

3411 University Ave
Ste 1
Morgantown, WV 26505
Phone (304) 598-2212

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1114767316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 UNIVERSITY AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265057219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 EARL L CORE RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089589",
            "telephone_number": "304-225-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3411 University Ave",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265057219",
            "country_code": "US",
            "telephone_number": "304-598-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRINER",
        "first_name": "ALEC",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.