Individual provider Active NPI

Rebecca Ann Poling, PT

  • Physical Therapist
  • Parsons, WV
National Provider Identifier
1356610455
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001184 Issued in WV
Practice address
8591 Holly Meadows Rd
Parsons, WV 26287-8604
Phone
(304) 478-3339
Fax
(304) 457-3336
NPI assigned
Dec 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001184 WV Primary

Addresses

Primary practice location

8591 Holly Meadows Rd
Parsons, WV 26287-8604

Mailing address

8591 Holly Meadows Rd
Parsons, WV 26287-8604
Phone (304) 478-3339

Other identifiers 1

IdentifierTypeStateIssuer
001184OtherWVPT LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
001184WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baird Physical Therapy Physical Therapist PastSince Mar 17, 2020 Accepting new patients
St. George Medical Clinic Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1356610455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8591 HOLLY MEADOWS RD",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262878604",
            "telephone_number": "304-478-3339",
            "fax_number": "304-457-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8591 HOLLY MEADOWS RD",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262878604",
            "telephone_number": "304-478-3339",
            "fax_number": "304-457-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLING",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "001184",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.