Active NPI
John David Donaldson Jr., P.T, D.P.T.
- Physical Therapist
- Shinnston, WV
National Provider Identifier
1609111319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003089
- Practice address
- 33 Walnut St
Shinnston, WV 26431-1154 - Phone
- (304) 592-5041
- Fax
- (304) 592-5043
- NPI assigned
- Dec 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003089 | WV | Primary |
Addresses
Primary practice location
33 Walnut St
Shinnston, WV 26431-1154
Mailing address
33 Walnut St
Shinnston, WV 26431-1154
Phone (304) 592-5041
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003089 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1609111319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 WALNUT ST",
"city": "SHINNSTON",
"state": "WV",
"postal_code": "264311154",
"telephone_number": "304-592-5041",
"fax_number": "304-592-5043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 WALNUT ST",
"city": "SHINNSTON",
"state": "WV",
"postal_code": "264311154",
"telephone_number": "304-592-5041",
"fax_number": "304-592-5043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.T, D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "003089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shinnston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.