Organization Active NPI

Jackson Co Physical Therapy Inc

  • Physical Therapist
  • Ripley, WV
National Provider Identifier
1508952649
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
WV 727 Issued in WV
Legal business name
JACKSON CO PHYSICAL THERAPY INC
Practice address
344 B S Church St
Ripley, WV 25271-1512
Phone
(304) 372-7479
Fax
(304) 372-7483
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Ms. Grace Jacinto Odaniel, PT
Title
Chief Physical Therapist
Phone
(304) 372-7479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X WV 727 WV Primary

Addresses

Primary practice location

344 B S Church St
Ripley, WV 25271-1512

Mailing address

344 B S Church St
Ripley, WV 25271-1512
Phone (304) 372-7479

Other names 1

  • JCPT Other name

National Provider Directory

National Provider Directory

Locations

344B Church St S
Ripley, WV 25271
Phone (304) 372-7479

344 Church St S
#B
Ripley, WV 25271
Phone (304) 372-7479

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1508952649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 B S CHURCH ST",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711512",
            "telephone_number": "304-372-7479",
            "fax_number": "304-372-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 B S CHURCH ST",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711512",
            "telephone_number": "304-372-7479",
            "fax_number": "304-372-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CO PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "ODANIEL",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "JACINTO",
        "authorized_official_title_or_position": "CHIEF PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "304-372-7479",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "WV 727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JCPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ripley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.