Individual provider Active NPI

William Michael Harriman

  • Physical Therapist
  • Morgantown, WV
National Provider Identifier
1639766892
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004325 Issued in WV
Practice address
101 Fieldview Ave
Morgantown, WV 26501-1114
Phone
(304) 554-2220
NPI assigned
Dec 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 004325 WV Primary

Addresses

Primary practice location

101 Fieldview Ave
Morgantown, WV 26501-1114

Mailing address

101 Fieldview Ave
Morgantown, WV 26501-1114
Phone (304) 554-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210203000449 WV Practitioner - Physical Therapist in Private Practice 4385058361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Move Right Physical Therapy LLCGroup PAC ID 4789098757, 5 clinicians

Practice addresses (Care Compare)

101 Fieldview Ave
Morgantown, WV 26501-1114
Phone (304) 554-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004325WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Right Physical Therapy LLC Physical Therapist CurrentSince Jan 13, 2021 Accepting new patients

Locations

101 Fieldview Ave
Morgantown, WV 26501
Phone (304) 554-2220

Organizations & group practices 1

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1639766892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FIELDVIEW AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265011114",
            "telephone_number": "304-554-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FIELDVIEW AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265011114",
            "telephone_number": "304-554-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIMAN",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "004325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.