Mindy Beth Gardner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002501 Issued in WV

Practice address

2629 Larwood Dr
Charleston, WV 25302-4319

Phone

(304) 638-7327

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mindy Beth Starks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1629002522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 LARWOOD DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253024319",
            "telephone_number": "304-638-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 LARWOOD DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253024319",
            "telephone_number": "304-638-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MINDY",
        "middle_name": "BETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "002501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "STARKS",
            "middle_name": "BETH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oceania Garcia
• Rosetta Garcia
• Syreine Garcia
• Aaron Gard
• Jennifer Gardi
• Shannon Gardner
• Terina Louise Jean Gardner, LPC
• Heather Nicole Garey Miller, BSW
• Firooz Garmany, M.D.
• Lindsay Garner-McGraw

• Physical Therapist in Charleston, WV
• Providers in Charleston, 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 Dec 27, 2022; 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.