Active NPI
Tracy Lee Garavaglia, M.P.T., A.T.C.
- Physical Therapist
- Nutter Fort, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001917
- Practice address
- 2A Cherry Tree Dr
Nutter Fort, WV 26301-4475 - Phone
- (304) 622-5822
- Fax
- (304) 622-9707
- NPI assigned
- Jan 10, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001917 | WV | Primary |
Addresses
Primary practice location
2A Cherry Tree Dr
Nutter Fort, WV 26301-4475
Mailing address
2A Cherry Tree Dr
Nutter Fort, WV 26301-4475
Phone (304) 622-5822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Reston PL
Gassaway, WV 26624-9356
Phone (304) 364-9191
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.3 of 100
- Quality
- 71.18
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 79.82
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 | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Providers PLLC | Physical Therapist | Past | Accepting new patients |
| Greenbrier Valley Physical Therapy, LLC | Past | Accepting new patients |
Locations
100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046
155 Reston Pl
Gassaway, WV 26624
Phone (304) 228-7620
3942 Davis Stuart Rd
Ste 3
Ronceverte, WV 24970
Phone (304) 647-3987
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West Virginia Physical Therapy & Wellness Center
- Physical Therapist
- Lewisburg, WV
- NPI 1619260353
-
dba Bodyworks Physical Therapy
- Specialist
- Princeton, WV
- NPI 1447932744
-
- Specialist
- Ronceverte, WV
- NPI 1407946932
-
- Physical Therapy Clinic/Center
- Ravenswood, WV
- NPI 1013039965
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1164401162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2A CHERRY TREE DR",
"city": "NUTTER FORT",
"state": "WV",
"postal_code": "263014475",
"telephone_number": "304-622-5822",
"fax_number": "304-622-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2A CHERRY TREE DR",
"city": "NUTTER FORT",
"state": "WV",
"postal_code": "263014475",
"telephone_number": "304-622-5822",
"fax_number": "304-622-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARAVAGLIA",
"first_name": "TRACY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "M.P.T., A.T.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "001917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutter Fort, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.