Pelvic Health Physical Therapy of Morgantown, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PELVIC HEALTH PHYSICAL THERAPY OF MORGANTOWN, LLC

Practice address

6000 Coombs Farm Rd Ste 106
Morgantown, WV 26508-1155

Phone

(304) 282-6497

Fax

(888) 461-5707

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Kathryn Lyndon

Title

Administrator

Phone

(830) 730-0074

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kylie Lawhorne

  • Physical Therapist
  • Morgantown, WV
  • NPI 1790524544
  Medicare reassignment Care Compare group NPD
• Kerry Michelle Winge, PT

  • Physical Therapist
  • Morgantown, WV
  • NPI 1659447803
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1497362867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TIMBER BLUFF CT",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081622",
            "telephone_number": "304-282-6497",
            "fax_number": "888-461-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 COOMBS FARM RD STE 106",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081155",
            "telephone_number": "304-282-6497",
            "fax_number": "888-461-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC HEALTH PHYSICAL THERAPY OF MORGANTOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "LYNDON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-730-0074"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy B Pelkey, CRNA
• Bethany S Pellegrino, M. D.
• Ronald J Pellegrino, M. D.
• Gina Marie Pellettere
• Jacqueline Renee Peluchette, PHARMD
• Jacob Kessler Pence, DO
• Matthew Pendleton, BS
• Morgan Brooke Pendleton, MD
• Brittany Pennell
• Autumn Pennington

• Physical Therapy Clinic/Center in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapy Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.