NPIMap

Organization Active NPI

Community Health Association

Doing business as JGH Therapy and SportsCare

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
National Provider Identifier
1124369780
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
52 Issued in WV
Legal business name
COMMUNITY HEALTH ASSOCIATION
Doing business as
JGH Therapy and SportsCare
Practice address
511 Washington St
Ravenswood, WV 26164-1733
Phone
(304) 273-5648
NPI assigned
Mar 7, 2013
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
JACKSON GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Mrs. Stephanie L McCoy
Title
Chief Executive Officer
Phone
(304) 373-1475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 52 WV Primary

Addresses

Primary practice location

511 Washington St
Ravenswood, WV 26164-1733

Mailing address

511 Washington St
Ravenswood, WV 26164-1733
Phone (304) 273-5648

Other names 1

  • JGH Therapy and SportsCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031219000784 WV Part B Supplier - Clinic/Group Practice 1759291313 Receives reassigned benefits from 135 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ripley, WV; Ravenswood, WV

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jackson General Hospita3 organizations share this tax ID, including this one
Part of
Jackson General Hospita

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

510 Washington St
Ravenswood, WV 26164

509 Church St S
Ripley, WV 25271
Phone (304) 372-1605

Practitioners & affiliated clinicians

Practitioners 256

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 256

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1124369780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WASHINGTON ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641733",
            "telephone_number": "304-273-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WASHINGTON ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641733",
            "telephone_number": "304-273-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON GENERAL HOSPITAL",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-373-1475",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WV",
            "license": "52",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JGH Therapy and SportsCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ravenswood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.