Active NPI
Rhonda Lyn Gould, PTA
- Physical Therapy Assistant
- Buckhannon, WV
National Provider Identifier
1326324096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- WV001013
- Practice address
- 60 Clarksburg Rd
Buckhannon, WV 26201-8400 - Phone
- (304) 472-0181
- Fax
- (304) 472-0192
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | WV001013 | WV | Primary |
Addresses
Primary practice location
60 Clarksburg Rd
Buckhannon, WV 26201-8400
Mailing address
943 Maple Dr
Morgantown, WV 26505-2812
Phone (304) 599-2515
Other names 1
- Rhonda Lyn Frayer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV001013 | WV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1326324096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 MAPLE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052812",
"telephone_number": "304-599-2515",
"fax_number": "304-285-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 CLARKSBURG RD",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262018400",
"telephone_number": "304-472-0181",
"fax_number": "304-472-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "RHONDA",
"middle_name": "LYN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "WV001013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RHONDA",
"last_name": "FRAYER",
"middle_name": "LYN",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.