Individual provider Active NPI

Andrea D Geary, PT

  • Physical Therapist
  • Charleston, WV
National Provider Identifier
1245330737
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001912 Issued in WV
Practice address
6 Courtney Dr
Sedgley Office Park
Charleston, WV 25304-2696
Phone
(304) 720-5433
Fax
(304) 720-5436
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001912 WV Primary

Addresses

Primary practice location

6 Courtney Dr
Sedgley Office Park
Charleston, WV 25304-2696

Mailing address

6 Courtney Dr
Sedgley Office Park
Charleston, WV 25304-2696
Phone (304) 720-5433

Other identifiers 1

IdentifierTypeStateIssuer
3810004534MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000044 WV Practitioner - Physical Therapist in Private Practice 2860418464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrier Valley Physical Therapy LLCGroup PAC ID 3870499957, 57 clinicians

Practice addresses (Care Compare)

213 Crossings Mall Rd
Elkview, WV 25071-9230
Phone (304) 965-2847

3942 Davis Stuart Rd
Suite 3
Ronceverte, WV 24970-0269
Phone (304) 647-3987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001912WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Valley Physical Therapy LLC CurrentSince Oct 1, 2024 Accepting new patients
Greenbrier Valley Physical Therapy LLC CurrentSince Oct 1, 2024 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Physical Therapist Current Accepting new patients
Greenbrier Valley Physical Therapy LLC Past Accepting new patients
Dynamic Physical Therapy and Hand Center, LLC Physical Therapist Past Accepting new patients
Elk Valley Health & Wellness PastSince Apr 23, 2016 Accepting new patients
DPT, Inc Physical Therapist PastSince Mar 12, 2015 Accepting new patients

Locations

213 Crossings Mall Rd
Elkview, WV 25071
Phone (304) 965-2847

3942 Davis Stuart Rd
Ste 3
Ronceverte, WV 24970
Phone (304) 647-3987

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1245330737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COURTNEY DR",
            "address_2": "SEDGLEY OFFICE PARK",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042696",
            "telephone_number": "304-720-5433",
            "fax_number": "304-720-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COURTNEY DR",
            "address_2": "SEDGLEY OFFICE PARK",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042696",
            "telephone_number": "304-720-5433",
            "fax_number": "304-720-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "ANDREA",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004534",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.