Individual provider Active NPI

Tim Turner

  • Physical Therapist
  • Fairmont, WV
National Provider Identifier
1154740223
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003459 Issued in WV
Practice address
51 Middletown Rd
Fairmont, WV 26554-8103
Phone
(304) 612-5916
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT003459 WV Primary

Addresses

Primary practice location

51 Middletown Rd
Fairmont, WV 26554-8103

Mailing address

51 Middletown Rd Ste 102
Fairmont, WV 26554-8177
Phone (304) 534-8122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617001757 WV Practitioner - Physical Therapist in Private Practice 0547571549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Physical Therapy CorpGroup PAC ID 6800263955, 9 clinicians

Practice addresses (Care Compare)

51 Middletown Rd
Suite 102
Fairmont, WV 26554-8177
Phone (304) 534-8122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT003459WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy, Corp. Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients
Dynamic Physical Therapy, Inc Single Specialty CurrentSince Sep 14, 2021 Accepting new patients
Fairmont Home Equipment & Supply Company PastSince Sep 26, 2022 Accepting new patients
Odyssey Healthcare Operating a LP Past Accepting new patients

Locations

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

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

51 Middletown Rd
Ste 102
White Hall, WV 26554
Phone (304) 367-8130

51 Middletown Rd
White Hall, WV 26554
Phone (304) 534-8122

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1154740223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MIDDLETOWN RD STE 102",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548177",
            "telephone_number": "304-534-8122",
            "fax_number": "304-534-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MIDDLETOWN RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548103",
            "telephone_number": "304-612-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "TIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; 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.