Organization Active NPI

Kisner McGraw Hand to Shoulder Rehabilitation

  • Occupational Medicine Clinic/Center
  • Westover, WV
National Provider Identifier
1447706403
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
886 Issued in WV
Legal business name
KISNER MCGRAW HAND TO SHOULDER REHABILITATION
Doing business as
Kisner McGraw Hand to Shoulder Rehabilitation
Practice address
26 Commerce Drive
Westover, WV 26501-3858
Phone
(304) 241-1219
Fax
(304) 322-4485
NPI assigned
Aug 30, 2016
Last updated
Oct 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Carol Kisner McGraw, MOT, OTR/L, CHTNPI 1831325729
Title
Owner
Phone
(304) 216-9298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 886 WV Primary

Addresses

Primary practice location

26 Commerce Drive
Westover, WV 26501-3858

Mailing address

105 Maple Grove Ave
Westover, WV 26501-4081
Phone (304) 216-9298

Other names 1

  • KISNER MCGRAW HAND TO SHOULDER REHABILITATION Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161128001346 WV Part B Supplier - Clinic/Group Practice 2264711712 Receives reassigned benefits from 1 practitioner
Practice locations: Westover, WV

National Provider Directory

National Provider Directory

Locations

26 Commerce Dr
Westover, WV 26501
Phone (304) 216-9298

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1447706403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAPLE GROVE AVE",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "265014081",
            "telephone_number": "304-216-9298",
            "fax_number": "304-291-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COMMERCE DRIVE",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "265013858",
            "telephone_number": "304-241-1219",
            "fax_number": "304-322-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISNER MCGRAW HAND TO SHOULDER REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "KISNER MCGRAW",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-216-9298",
        "authorized_official_credential": "MOT, OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "WV",
            "license": "886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KISNER MCGRAW HAND TO SHOULDER REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westover, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.