Individual provider Active NPI

Christina Ferguson, DPT

  • Physical Therapist
  • Charleston, WV
National Provider Identifier
1487030938
Registry record updated Oct 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003519 Issued in WV
Practice address
13 Kanawha Blvd W Ste 300
Charleston, WV 25302-2350
Phone
(304) 988-4371
Fax
(304) 743-4954
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006687 KY
Physical Therapist 225100000X 003519 WV Primary

Addresses

Primary practice location

13 Kanawha Blvd W Ste 300
Charleston, WV 25302-2350

Mailing address

#L-3137
Columbus, OH 43260-0001
Phone (304) 733-9560

Other practice location 1

144 S Carol Malone Blvd
Grayson, KY 41143-1352
Phone (606) 474-7649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170809000741 WV Practitioner - Physical Therapist in Private Practice 5890066823 Reassigns benefits to 1 organization
I20181016002763 KY Practitioner - Physical Therapist in Private Practice 5890066823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations R.C., Inc.Group PAC ID 3577477462, 13 clinicians
Mobile Therapy ServicesGroup PAC ID 3971547126, 4 clinicians

Practice addresses (Care Compare)

13 Kanawha Blvd W
Suite 300
Charleston, WV 25302-2350
Phone (304) 757-2500

144 S Carol Malone Blvd
Grayson, KY 41143-1352
Phone (606) 474-7649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003519WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services Physical Therapist CurrentSince Sep 17, 2018 Accepting new patients
Generations R.C., Inc. Physical Therapist CurrentSince Jun 19, 2017 Accepting new patients
Generations R.C., Inc Physical Therapist Current Accepting new patients
Generations R.C., Inc. Physical Therapist CurrentSince Jun 19, 2017 Accepting new patients
Generations R.C., Inc. Physical Therapist Past Accepting new patients

Locations

144 S Carol Malone Blvd
Grayson, KY 41143
Phone (606) 474-7649

7966 US Route 60
Barboursville, WV 25504
Phone (304) 733-9560

100 Marshall St N
Ste 2
Benwood, WV 26031
Phone (304) 218-2300

13 Kanawha Blvd W
Ste 300
Charleston, WV 25302
Phone (304) 757-2500

3705 Teays Valley Rd
Ste 100
Hurricane, WV 25526
Phone (304) 757-2500

305 E Main St
Milton, WV 25541
Phone (304) 743-6995

4002 40th St
Nitro, WV 25143
Phone (304) 757-2500

12510 Winfield Rd
Winfield, WV 25213
Phone (304) 586-4200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538784000000",
    "number": "1487030938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#L-3137",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "304-733-9560",
            "fax_number": "304-733-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 KANAWHA BLVD W STE 300",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022350",
            "telephone_number": "304-988-4371",
            "fax_number": "304-743-4954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 S Carol Malone Blvd",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431352",
            "country_code": "US",
            "telephone_number": "606-474-7649",
            "fax_number": "606-474-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "CHRISTINA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2018-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006687",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "003519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2018; 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.