Organization Active NPI

Mainstream Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Weirton, WV
National Provider Identifier
1669545687
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
002305 Issued in WV
Legal business name
MAINSTREAM PHYSICAL THERAPY LLC
Practice address
243 Three Springs Dr Ste 1
Weirton, WV 26062-3839
Phone
(304) 723-7111
Fax
(304) 723-7173
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
John Ira Kirlangitis, DPTNPI 1174617088
Title
Doctor of Physical Therapy
Phone
(304) 723-7111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 002305 WV Primary

Addresses

Primary practice location

243 Three Springs Dr Ste 1
Weirton, WV 26062-3839

Mailing address

243 Three Springs Dr Ste 1
Weirton, WV 26062-3839
Phone (304) 723-7111

Other identifiers 1

IdentifierTypeStateIssuer
3810001308MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041203000167 WV Part B Supplier - Clinic/Group Practice 7214993096 Receives reassigned benefits from 4 practitioners
Practice locations: Weirton, WV

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1363 Franklin St
Toronto, OH 43964
Phone (304) 723-7111

3045 Pennsylvania Ave
Ste 8
Weirton, WV 26062
Phone (304) 723-7111

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1669545687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 THREE SPRINGS DR STE 1",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623839",
            "telephone_number": "304-723-7111",
            "fax_number": "304-723-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 THREE SPRINGS DR STE 1",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623839",
            "telephone_number": "304-723-7111",
            "fax_number": "304-723-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "KIRLANGITIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "304-723-7111",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WV",
            "license": "002305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001308",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.