Active NPI
Thomas L Stec, PT
- Physical Therapist
- South Charleston, WV
National Provider Identifier
1689642100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 392
- Practice address
- 313 Maccorkle Ave SW
South Charleston, WV 25303-1263 - Phone
- (304) 744-2300
- Fax
- (304) 744-8195
- NPI assigned
- Mar 10, 2006
- 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 | 392 | WV | Primary |
Addresses
Primary practice location
313 Maccorkle Ave SW
South Charleston, WV 25303-1263
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 441-1949
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0096387 | Medicaid | OH | |
| 3810005647 | Medicaid | WV |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Physical Therapy Services Inc | Physical Therapist | Past | Accepting new patients |
| Charleston Physical Therapy Specialists Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Charleston, WV
- NPI 1528169976
-
- Physical Therapist
- Huntington, WV
- NPI 1922059641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1689642100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-441-1949",
"fax_number": "740-446-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 MACCORKLE AVE SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031263",
"telephone_number": "304-744-2300",
"fax_number": "304-744-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEC",
"first_name": "THOMAS",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0096387",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005647",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.