Individual provider Active NPI

Staci Sengewalt, PT

  • Physical Therapist
  • Wheeling, WV
National Provider Identifier
1548459167
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT870825 Issued in DC
Practice address
1086 E Bethlehem Blvd
Wheeling, WV 26003-4961
Phone
(304) 238-9468
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT870825 DC Primary

Addresses

Primary practice location

1086 E Bethlehem Blvd
Wheeling, WV 26003-4961

Mailing address

900 Wildflower Cir
Ste 903
Washington, PA 15301-9782
Phone (724) 416-7172

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT870825DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Jan 21, 2024 Accepting new patients
Crossroads Physical Therapy, PC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients

Locations

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

900 Wildflower Cir
Ste 903
Washington, PA 15301
Phone (724) 416-3037

1086 E Bethlehem Blvd
Wheeling, WV 26003
Phone (304) 238-9468

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.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1548459167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILDFLOWER CIR",
            "address_2": "STE 903",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019782",
            "telephone_number": "724-416-7172",
            "fax_number": "724-416-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 E BETHLEHEM BLVD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034961",
            "telephone_number": "304-238-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGEWALT",
        "first_name": "STACI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.