Organization Active NPI

Doctors Choice Rehabilitation Clinic

  • Physical Therapist
  • Fairmont, WV
National Provider Identifier
1164564670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000013 Issued in WV
Legal business name
DOCTORS CHOICE REHABILITATION CLINIC
Practice address
161 Middletown Circle
Fairmont, WV 26554-2015
Phone
(304) 363-4133
Fax
(304) 363-4183
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Erma Demus
Title
President
Phone
(304) 363-4133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 000013 WV Primary

Addresses

Primary practice location

161 Middletown Circle
Fairmont, WV 26554-2015

Mailing address

161 Middletown Circle
Fairmont, WV 26554-2015
Phone (304) 363-4133

Other identifiers 1

IdentifierTypeStateIssuer
4001041000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164564670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MIDDLETOWN CIRCLE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542015",
            "telephone_number": "304-363-4133",
            "fax_number": "304-363-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MIDDLETOWN CIRCLE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542015",
            "telephone_number": "304-363-4133",
            "fax_number": "304-363-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS CHOICE REHABILITATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMUS",
        "authorized_official_first_name": "ERMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-363-4133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "000013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4001041000",
            "state": "WV"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.