Active NPI
Stephanie A. Elmore, OT
- Specialist
- Ronceverte, WV
National Provider Identifier
1124217864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1341
- Practice address
- 111 Davis Stuart Road
Ronceverte, WV 24970 - Phone
- (304) 647-3987
- Fax
- (304) 647-3990
- NPI assigned
- Oct 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Physical Therapist
- Low Moor, VA
- NPI 1710537626
-
- Specialist
- Ronceverte, WV
- NPI 1407946932
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greenbrier Valley Physical Therapy LLC
Practice addresses (Care Compare)
3942 Davis Stuart Rd
Suite 3
Ronceverte, WV 24970-0269
Phone (304) 647-3987
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.3 of 100
- Quality
- 71.18
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 79.82
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071116000203 | WV | Practitioner - Occupational Therapist in Private Practice | 1951499425 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Valley Physical Therapy, LLC | Current | Accepting new patients | |
| Greenbrier Valley Physical Therapy, LLC | Specialist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1341 | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
111 Davis Stuart Road
Ronceverte, WV 24970
Mailing address
111 Davis Stuart Road
Ronceverte, WV 24970
Phone (304) 647-3987
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172V00000X | Medicaid | WV |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2023.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1124217864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DAVIS STUART ROAD",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "24970",
"telephone_number": "304-647-3987",
"fax_number": "304-647-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DAVIS STUART ROAD",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "24970",
"telephone_number": "304-647-3987",
"fax_number": "304-647-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMORE",
"first_name": "STEPHANIE",
"middle_name": "A.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "1341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172V00000X",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ronceverte, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.