Individual provider Active NPI

Tyler Zahnow

  • Physical Therapist
  • Morgantown, WV
National Provider Identifier
1417563222
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004262 Issued in WV
Practice address
107 Corkrean Way
Morgantown, WV 26508-1158
Phone
(304) 281-2454
NPI assigned
Sep 17, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 004262 WV Primary

Addresses

Primary practice location

107 Corkrean Way
Morgantown, WV 26508-1158

Mailing address

107 Corkrean Way
Morgantown, WV 26508-1158
Phone (304) 281-2454

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ttzahnow@gmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110001047 WV Practitioner - Physical Therapist in Private Practice 8527478163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Settlement Physical TherapyGroup PAC ID 7113914631, shared by 5 NPIs, 97 clinicians

Practice addresses (Care Compare)

2 Cherry Tree Dr
Suite a
Nutter Fort, WV 26301-4642
Phone (304) 622-5822

355 Wharton Cir
Suite 140
Triadelphia, WV 26059-1387
Phone (304) 699-2377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004262WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
First Settlement Physical Therapy,Inc. Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
First Settlement Physical Therapy Single Specialty CurrentSince Dec 2, 2024 Accepting new patients
First Settlement Phycial Therapy Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
First Settlement Physical Therapy Single Specialty Current Accepting new patients

Locations

1001 Bridge Rd
Charleston, WV 25314
Phone (304) 759-8428

200 Fairmont Ave
Ste 104
Fairmont, WV 26554
Phone (304) 363-8543

1216 Lafayette Ave
Moundsville, WV 26041
Phone (304) 907-0227

2 Cherry Tree Dr
Ste A
Nutter Fort, WV 26301
Phone (304) 622-5822

2837 Pike St
#A
Parkersburg, WV 26101
Phone (304) 489-2230

240 Washington St
Ravenswood, WV 26164
Phone (304) 273-8071

355 Wharton Cir
Ste 140
Triadelphia, WV 26059
Phone (304) 551-0383

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1417563222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CORKREAN WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081158",
            "telephone_number": "304-281-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CORKREAN WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081158",
            "telephone_number": "304-281-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHNOW",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "004262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ttzahnow@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "107 Corkrean Way",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265081158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.