Organization Active NPI

Berkeley Springs Center LLC

Doing business as Berkeley Springs Outpatient Therapy Center

  • Physical Therapy Clinic/Center
  • Berkeley Springs, WV
National Provider Identifier
1609328608
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BERKELEY SPRINGS CENTER LLC
Doing business as
Berkeley Springs Outpatient Therapy Center
Practice address
465 Autumn Acres Road
Berkeley Springs, WV 25411-3202
Phone
(304) 258-3673
Fax
(304) 258-6618
NPI assigned
Oct 26, 2016
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Lawrence A Pack
Title
Manager
Phone
(304) 343-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

465 Autumn Acres Road
Berkeley Springs, WV 25411-3202

Mailing address

700 Chappell Rd
Charleston, WV 25304-2704
Phone (304) 343-1950

Other names 1

  • Berkeley Springs Outpatient Therapy Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1609328608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHAPPELL RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042704",
            "telephone_number": "304-343-1950",
            "fax_number": "304-343-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 AUTUMN ACRES ROAD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254113202",
            "telephone_number": "304-258-3673",
            "fax_number": "304-258-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY SPRINGS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-343-1950"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley Springs Outpatient Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.