Shawn Paul Chapman, PTA
Individual provider Active NPI Physical Therapy Assistant · South Charleston, WV
NPI 1447684154 · NPPES record last updated Aug 29, 2013
Key facts
- NPI
- 1447684154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 001903 (WV)
- Practice address
- 1000 Lincoln Dr
South Charleston, WV 25309-2304 - Phone
- (304) 208-5488
- NPI assigned
- Aug 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001903 | WV | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001903 | WV | Yes |
Addresses
Primary practice location
1000 Lincoln Dr
South Charleston, WV 25309-2304
Mailing address
163 Bradbrook Dr
Ona, WV 25545-9424
Phone (304) 208-5488
Other providers in South Charleston, WV
- Destiny Chapman
- Erica Lynn Chapman
- Jayden Chapman
- Jennifer Marie Chapman
- Joshua Patrick Chapman
- Charleston Area Medical Center Inc
- Charleston Area Medical Center, Inc.
- Charleston Gastroenterology Associates
- Charleston Gynecology PLLC
- Charleston Nephrology Hypertension and Transplant, PLLC
All providers in South Charleston, WV · Physical Therapy Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.