Kelly B Dlugos, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001311 Issued in WV

Practice address

1900 Locust Ave Ste a
Fairmont, WV 26554-1239

Phone

(304) 333-5222

Fax

(304) 333-5224

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Physical Therapy IncGroup PAC ID 8224934708, 5 clinicians

Elevate Physical Therapy CorpGroup PAC ID 6800263955, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Physical Therapy, Inc

  • Physical Therapist
  • Morgantown, WV
  • NPI 1487647004
  Medicare reassignment Care Compare group NPD
• Elevate Physical Therapy, Corp.

  • Physical Therapist
  • Fairmont, WV
  • NPI 1023743150
  Medicare reassignment Care Compare group NPD
• Fairmont Home Equipment & Supply Company

  • Oxygen Equipment & Supplies (DME)
  • Morgantown, WV
  • NPI 1356346357
  NPD (past)
• Morgantown Physical Therapy Associates, Inc.

  • Physical Therapist
  • Morgantown, WV
  • NPI 1437191756
  NPD (past)
• Morgantown Physical Therapy Associates, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Morgantown, WV
  • NPI 1922486026
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1306888797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LOCUST AVE STE A",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541239",
            "telephone_number": "304-333-5222",
            "fax_number": "304-333-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LOCUST AVE STE A",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541239",
            "telephone_number": "304-333-5222",
            "fax_number": "304-333-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DLUGOS",
        "first_name": "KELLY",
        "middle_name": "B",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001311",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015733000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William B Dickey, MSQRPCRCLPC
• Bonnie Diep, MD
• Jadyn Ruth Dillinger
• Makayla Dillow
• Chase Dixon
• Annatram Ngoc DO, DDS
• Camille Dobbs
• Destiny Dobbs
• Fortune Dobbs
• Doctors Choice Rehabilitation Clinic

• Physical Therapist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.