Cathy Boyd Physical Medicine LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

77359 Issued in WV

Legal business name

CATHY BOYD PHYSICAL MEDICINE LLC

Practice address

1804A Harper Rd
Beckley, WV 25801-3331

Phone

(304) 250-6047

Fax

(304) 250-6048

NPI assigned

Feb 12, 2015

Organization subpart

No

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

Authorized official

Name

Christopher Grose, DCNPI 1740348234

Title

Ceo

Phone

(304) 250-6047

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Cathy Boyd Physical Medicine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Cathy Boyd Physical Medicine LLC

  • Rehabilitation Clinic/Center
  • Beckley, WV
  • NPI 1669050563
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cathy Boyd Physical Medicine LLC

  • Rehabilitation Clinic/Center
  • Beckley, WV
  • NPI 1669050563
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maegan Osborne, FNP

  • Family Nurse Practitioner
  • Lochgelly, WV
  • NPI 1285034488
  Medicare reassignment NPD
• Christina L. Phares, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beckley, WV
  • NPI 1689072605

  Family

  Medicare reassignment NPD
• Tiffanie Renee' Snyder, APRN-CNP

  • Family Nurse Practitioner
  • Beckley, WV
  • NPI 1508418062
  Medicare reassignment NPD
• Christopher M Grose, DC

  • Chiropractor
  • Beckley, WV
  • NPI 1740348234
  NPD Authorized official
• Scott A Keffer, DO

  • Family Medicine Physician
  • Ansted, WV
  • NPI 1700878881
  NPD (past)
• Richard Edward Packard Jr., RDN, LDN, MBA, CDCES

  • Registered Dietitian
  • Horseheads, NY
  • NPI 1821372376
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1154712032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5356",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017504",
            "telephone_number": "304-250-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804A HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013331",
            "telephone_number": "304-250-6047",
            "fax_number": "304-250-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHY BOYD PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "GROSE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-250-6047",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "77359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakeema Carter
• Felino Carunungan
• Maria Dulce Carunungan, PT,DPT, MS, GCS, CWS
• Bryan D Caskey, PA
• Michelle B Caskey, APRN, MSN, NP-C
• Cathy Boyd Physical Medicine LLC
• Maureen Cattell, LMT
• Kamilah Catus
• William Anthony Catus, LPC
• Azsha Caudill

• Family Nurse Practitioner in Beckley, WV
• Providers in Beckley, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.