Individual provider Active NPI

Mark David Henrich, PT,MBA

  • Physical Therapist
  • Charleston, WV
National Provider Identifier
1699797829
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1358 Issued in WV
Practice address
100 Tracy Way
Charleston, WV 25311-1257
Phone
(304) 343-4583
Fax
(304) 343-9207
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 1358 WV Primary

Addresses

Primary practice location

100 Tracy Way
Charleston, WV 25311-1257

Mailing address

100 Tracy Way
Charleston, WV 25311-1257
Phone (304) 343-4583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000041 WV Practitioner - Physical Therapist in Private Practice 5698774537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
72 of 100Reported as group
Quality
51.26
Improvement activities
40
Cost
71.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Associates, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jul 6, 2024 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jul 6, 2024 Accepting new patients
Neurological Associates, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients

Locations

415 Morris St
Ste 400
Charleston, WV 25301
Phone (304) 344-3551

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

100 Tracy Way
Charleston, WV 25311
Phone (304) 343-4583

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

Organizations & group practices 5

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1699797829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRACY WAY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111257",
            "telephone_number": "304-343-4583",
            "fax_number": "304-343-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRACY WAY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111257",
            "telephone_number": "304-343-4583",
            "fax_number": "304-343-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICH",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT,MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "1358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.