NPIMap

Organization Active NPI

Orthopaedic Center of the Virginias Physical Therapy Inc.

  • Physical Therapist
  • Princeton, WV
National Provider Identifier
1194891846
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPAEDIC CENTER OF THE VIRGINIAS PHYSICAL THERAPY INC.
Practice address
311 Courthouse Rd
Suite #3
Princeton, WV 24740-2421
Phone
(304) 425-9857
Fax
(304) 487-3152
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Mrs. Lori Lee Persinger Lovern, PT OCSNPI 1588794028
Title
Owner Pres
Phone
(304) 425-9857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

311 Courthouse Rd
Suite #3
Princeton, WV 24740-2421

Mailing address

311 Courthouse Rd
Suite #3
Princeton, WV 24740-2421
Phone (304) 425-9857

Other identifiers 7

IdentifierTypeStateIssuer
072404OtherANTHEM
1405075OtherUMWA
4502834OtherAETNA
0156090000MedicaidWV
151508800OtherUS DEPT OF LABOR
001721163OtherWVBCBS
270675OtherMAMSI

National Provider Directory

National Provider Directory

Locations

311 Courthouse Rd
Ste 3
Princeton, WV 24740
Phone (304) 425-9857

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1194891846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 COURTHOUSE RD",
            "address_2": "SUITE #3",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402421",
            "telephone_number": "304-425-9857",
            "fax_number": "304-487-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 COURTHOUSE RD",
            "address_2": "SUITE #3",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402421",
            "telephone_number": "304-425-9857",
            "fax_number": "304-487-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC CENTER OF THE VIRGINIAS PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "PERSINGER LOVERN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "304-425-9857",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "072404",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1405075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4502834",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156090000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "151508800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001721163",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "270675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.