Individual provider Active NPI

Paul K Calvert, P.T.

  • Physical Therapist
  • Morgantown, WV
National Provider Identifier
1174526800
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001435 Issued in WV
Practice address
74 Erin Dr
Morgantown, WV 26508-1371
Phone
(304) 594-2500
Fax
(304) 594-9310
NPI assigned
May 27, 2005
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 001435 WV
Physical Therapist 225100000X 5731 SC
Physical Therapist 225100000X 001435 WV Primary

Addresses

Primary practice location

74 Erin Dr
Morgantown, WV 26508-1371

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080324000210 WV Practitioner - Physical Therapist in Private Practice 3678659257 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5731SCMDProfessional Counselor
001435WVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Rehabilitation Group, Inc. Physical Therapist CurrentSince Jan 29, 2016 Accepting new patients
Imagine Physical Therapy LLC Physical Therapist PastSince Apr 17, 2022 Accepting new patients
Baird Physical Therapy Physical Therapist Past Accepting new patients
Orthopedic Physical Therapy Associates PastSince Jan 1, 2012 Accepting new patients

Locations

2195 Cheat Rd
#1
Morgantown, WV 26508
Phone (304) 594-2500

2195 Cheat Rd
Ste 1
Morgantown, WV 26508
Phone (304) 594-2500

74 Erin Dr
Morgantown, WV 26508
Phone (304) 594-2500

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1174526800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-242-7106",
            "fax_number": "304-242-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ERIN DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081371",
            "telephone_number": "304-594-2500",
            "fax_number": "304-594-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "PAUL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "001435",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5731",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.