Organization Active NPI

Advanced Physical Medicine of West Virginia Inc

  • General Practice Physician
  • Morgantown, WV
National Provider Identifier
1215375415
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Feb 17, 2020

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Prosthetic/Orthotic Supplier 335E00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140702000538 WV Part B Supplier - Clinic/Group Practice 1951526177 Receives reassigned benefits from 2 practitioners
Practice locations: Morgantown, WV
O20170525000663 WV DME Supplier - Physician - Family Practice 1951526177 Practice locations: Morgantown, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.