NPIMap

Organization Active NPI

Generations R.C. Inc.

  • Physical Therapist
  • Winfield, WV
National Provider Identifier
1346571353
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GENERATIONS R.C. INC.
Practice address
12510 Winfield Road
Winfield, WV 25213
Phone
(304) 586-4200
Fax
(304) 586-4500
NPI assigned
Jan 15, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Brenda Lynn Tarr
Title
Cfo
Phone
(304) 743-4954

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031114000557 WV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577477462 Receives reassigned benefits from 14 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milton, WV; Nitro, WV; Winfield, WV; Charleston, WV; Benwood, WV; Barboursville, WV; Hurricane, WV

National Provider Directory

National Provider Directory
Tax ID family
Milton Physical Therapy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13 Kanawha Blvd W
Ste 300
Charleston, WV 25302
Phone (304) 757-2500

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

12510 Winfield Road
Winfield, WV 25213

Mailing address

PO Box 219
Milton, WV 25541-0219
Phone (304) 743-4954

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3810021204MedicaidWV

Other names 1

NPPES NPI Registry
  • Generations Physical Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2015.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1346571353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255410219",
            "telephone_number": "304-743-4954",
            "fax_number": "304-743-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 WINFIELD ROAD",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "25213",
            "telephone_number": "304-586-4200",
            "fax_number": "304-586-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS R.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-743-4954",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810021204",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winfield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.