Denise Michelle Spaulding, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000721 Issued in WV

Practice address

125 Saddleshop Rd.
Hilltop, WV 25855-0125

Phone

(304) 469-2966

Fax

(304) 469-2674

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285750406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 CIRCLEVIEW DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019329",
            "telephone_number": "304-256-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SADDLESHOP RD.",
            "city": "HILLTOP",
            "state": "WV",
            "postal_code": "258550125",
            "telephone_number": "304-469-2966",
            "fax_number": "304-469-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "000721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew McKinley Paden, CFY-SLP
• Mathias Mar Palmer, PTA
• Christa Park, DPT
• Saddle Shop Road Operations LLC (Hilltop Center)
• Joshua Smith, PTA
• Phillip Stoots
• Ralph M Sutphin
• Morning Walker
• Tiffany Nicole Walton
• Ashley Carr White, M.S. CF-SLP

• Physical Therapy Assistant in Hilltop, WV
• Providers in Hilltop, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.