Active NPI
Erin Elizabeth Stratford, MPT
- Physical Therapist
- Berkeley Springs, WV
National Provider Identifier
1689882532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 002437
- Practice address
- 23 Fitness Lane
Berkeley Springs, WV 25411-7080 - Phone
- (304) 258-1300
- Fax
- (304) 258-1400
- NPI assigned
- May 21, 2007
- Last updated
- Apr 17, 2009
- Sex
- Female
- 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 | PT 002437 | WV | Primary |
Addresses
Primary practice location
23 Fitness Lane
Berkeley Springs, WV 25411-7080
Mailing address
23 Fitness LN
Berkeley Springs, WV 25411-7080
Phone (304) 258-1300
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205384100 | Other | WV | US DEPT OF LABOR |
| 9173100 | Other | WV | AETNA |
| 001800554 | Other | WV | BCBS |
| 3810010878 | Medicaid | WV | |
| 414365500 | Medicaid | MD | |
| 1072723 | Other | WV | BRICKSTREET |
| 2726960 | Other | WV | CIGNA |
| 92711601 | Other | MD | BCBS |
Other names 1
- Miss Erin Elizabeth Bosley
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 002437 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239926400000",
"number": "1689882532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 FITNESS LN",
"city": "BERKELEY SPRINGS",
"state": "WV",
"postal_code": "254117080",
"telephone_number": "304-258-1300",
"fax_number": "304-258-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 FITNESS LANE",
"city": "BERKELEY SPRINGS",
"state": "WV",
"postal_code": "254117080",
"telephone_number": "304-258-1300",
"fax_number": "304-258-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATFORD",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2009-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT 002437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "205384100",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9173100",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001800554",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810010878",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "414365500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET",
"identifier": "1072723",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2726960",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "92711601",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "BOSLEY",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.