Individual provider Active NPI

James A Powell, PT

  • Physical Therapist
  • Saint Marys, WV
National Provider Identifier
1356397012
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000582 Issued in WV
Practice address
1851 N Pleasants Hwy
Saint Marys, WV 26170-8511
Phone
(304) 684-2248
Fax
(304) 684-2250
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 000582 WV Primary
Physical Therapist 225100000X 003806 OH

Addresses

Primary practice location

1851 N Pleasants Hwy
Saint Marys, WV 26170-8511

Mailing address

1851 N Pleasants Hwy
Saint Marys, WV 26170-8511
Phone (304) 684-2248

Other identifiers 2

IdentifierTypeStateIssuer
0156104000MedicaidWV
0704885MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120302000368 WV Practitioner - Physical Therapist in Private Practice 8527171982 Practice locations: Saint Marys, WV

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1851 N Pleasants Hwy
Saint Marys, WV 26170
Phone (304) 684-2248

1851 N Pleasants Hwy
Saint Marys, WV 26170-8511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003806OHMDPhysical Therapist
000582WVMDPhysical Therapist
582WVMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1356397012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N PLEASANTS HWY",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261708511",
            "telephone_number": "304-684-2248",
            "fax_number": "304-684-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N PLEASANTS HWY",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261708511",
            "telephone_number": "304-684-2248",
            "fax_number": "304-684-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "000582",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "003806",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156104000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0704885",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.