Active NPI
Colleen Louise Vankirk, PTA
- Physical Therapy Assistant
- Follansbee, WV
National Provider Identifier
1417073859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 001209
- Practice address
- 840 Lee Rd
Follansbee, WV 26037-1783 - Phone
- (304) 527-1100
- NPI assigned
- Mar 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001209 | WV | Primary |
| Physical Therapy Assistant | 225200000X | PTA. 02006 | OH |
Addresses
Primary practice location
840 Lee Rd
Follansbee, WV 26037-1783
Mailing address
234 Lacy Dr
Steubenville, OH 43952-7909
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 |
|---|---|---|---|
| PTA. 02006 | OH | MD | Physical Therapy Assistant |
| 001209 | WV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417073859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 LACY DR",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "439527909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 LEE RD",
"city": "FOLLANSBEE",
"state": "WV",
"postal_code": "260371783",
"telephone_number": "304-527-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANKIRK",
"first_name": "COLLEEN",
"middle_name": "LOUISE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "001209",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA. 02006",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Follansbee, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.