Active NPI
Advanced Physical Medicine of West Virginia Inc
- General Practice Physician
- Morgantown, WV
National Provider Identifier
1215375415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ADVANCED PHYSICAL MEDICINE OF WEST VIRGINIA INC
- Practice address
- 699 Burroughs St
Morgantown, WV 26505-3346 - Phone
- (304) 225-9356
- Fax
- (304) 225-9358
- NPI assigned
- Jun 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristyn Billings
- Title
- Credentialing
- Phone
- (412) 655-4362
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
699 Burroughs St
Morgantown, WV 26505-3346
Mailing address
699 Burroughs St
Morgantown, WV 26505-3346
Phone (304) 225-9356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Morgantown, WV
- NPI 1376301432
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1043273642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581897600000",
"number": "1215375415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 BURROUGHS ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053346",
"telephone_number": "304-225-9356",
"fax_number": "304-241-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 BURROUGHS ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053346",
"telephone_number": "304-225-9356",
"fax_number": "304-225-9358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PHYSICAL MEDICINE OF WEST VIRGINIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-10",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A",
"authorized_official_last_name": "BILLINGS",
"authorized_official_first_name": "KRISTYN",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "412-655-4362"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 17, 2020; 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.