Organization Active NPI

Central West Virginia Physical Therapy, Inc.

  • Physical Therapist
  • Summersville, WV
National Provider Identifier
1184700957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000461 Issued in WV
Legal business name
CENTRAL WEST VIRGINIA PHYSICAL THERAPY, INC.
Practice address
800 Broad St
Summersville, WV 26651-1707
Phone
(304) 872-2735
Fax
(304) 872-9416
NPI assigned
Oct 27, 2006
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
Kathy O. Bucks, P.T.
Title
Owner
Phone
(304) 872-2735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 000461 WV Primary

Addresses

Primary practice location

800 Broad St
Summersville, WV 26651-1707

Mailing address

800 Broad St
Summersville, WV 26651-1707
Phone (304) 872-2735

National Provider Directory

National Provider Directory

Locations

800 Broad St
Summersville, WV 26651
Phone (304) 872-2735

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184700957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BROAD ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511707",
            "telephone_number": "304-872-2735",
            "fax_number": "304-872-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BROAD ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511707",
            "telephone_number": "304-872-2735",
            "fax_number": "304-872-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WEST VIRGINIA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-872-2735",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "000461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, 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.