Active NPI
Trinity Physical Therapy and Wellness Center LLC
- Physical Therapist
- Union, WV
National Provider Identifier
1710031273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001473
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810003704 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
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.