Active NPI
Misti Elizabeth Valentine, PTA
- Physical Therapy Assistant
- Fairmont, WV
National Provider Identifier
1477835734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- WV1600
- Practice address
- 1228 Country Club Road, #15
Fairmont, WV 26554-2369 - Phone
- (304) 366-0461
- Fax
- (304) 366-0497
- NPI assigned
- Sep 13, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | WV1600 | WV | Primary |
Addresses
Primary practice location
1228 Country Club Road, #15
Fairmont, WV 26554-2369
Mailing address
943 Maple Dr
Morgantown, WV 26505-2812
Phone (304) 599-2515
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 |
|---|---|---|---|
| WV1600 | WV | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgantown Physical Therapy Associates, Inc. | Past | Accepting new patients | |
| Morgantown Physical Therapy Associates, 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.
-
- Physical Therapist
- Morgantown, WV
- NPI 1437191756
-
- Durable Medical Equipment & Medical Supplies
- Morgantown, WV
- NPI 1922486026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1477835734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 MAPLE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052812",
"telephone_number": "304-599-2515",
"fax_number": "304-285-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 COUNTRY CLUB ROAD, #15",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542369",
"telephone_number": "304-366-0461",
"fax_number": "304-366-0497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "MISTI",
"middle_name": "ELIZABETH",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "WV1600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.