Organization Active NPI

Trinity Physical Therapy and Wellness Center LLC

  • Physical Therapist
  • Union, WV
National Provider Identifier
1710031273
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001473 Issued in WV
Legal business name
TRINITY PHYSICAL THERAPY AND WELLNESS CENTER LLC
Practice address
76 Bud Ridge Rd
Union, WV 24983
Phone
(304) 772-5639
Fax
(304) 772-4639
NPI assigned
Jan 22, 2007
Last updated
Apr 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Harmony Flora
Title
Office Manager
Phone
(304) 772-5639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001473 WV Primary

Addresses

Primary practice location

76 Bud Ridge Rd
Union, WV 24983

Mailing address

76 Bud Ridge Rd
Union, WV 24983
Phone (304) 772-5639

Other identifiers 1

IdentifierTypeStateIssuer
3810003704MedicaidWV

National Provider Directory

National Provider Directory

Locations

76 Bud Ridge Rd
Union, WV 24983
Phone (304) 646-8522

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1710031273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BUD RIDGE RD",
            "city": "UNION",
            "state": "WV",
            "postal_code": "24983",
            "telephone_number": "304-772-5639",
            "fax_number": "304-772-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BUD RIDGE RD",
            "city": "UNION",
            "state": "WV",
            "postal_code": "24983",
            "telephone_number": "304-772-5639",
            "fax_number": "304-772-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHYSICAL THERAPY AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "FLORA",
        "authorized_official_first_name": "HARMONY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-772-5639"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003704",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.