Summit Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001084 Issued in WV

Legal business name

SUMMIT PHYSICAL THERAPY INC

Practice address

1425 Main St
Follansbee, WV 26037-1217

Phone

(304) 527-4472

Fax

(304) 572-4648

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Nicholas J Martin, PT

Title

Owner

Phone

(304) 527-4472

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1497973176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PENCO RD",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623822",
            "telephone_number": "304-723-3780",
            "fax_number": "304-723-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MAIN ST",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371217",
            "telephone_number": "304-527-4472",
            "fax_number": "304-572-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-527-4472",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004834",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teewanee C Sperringer
• Matthew Starkman, DPT
• Stephen H Mascio DO
• Jessica Strader, LMT
• Paula Suidak
• Cindy J Taylor
• Jody Tennant
• Ramesh Thimmiah, M.D.
• Kelley Thomas, PHARMD
• Nicole Thomaselli

• Physical Therapist in Follansbee, WV
• Providers in Follansbee, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.