NPIMap

Organization Active NPI

Buckhannon Medical Rehabilitation and Massage Therapy

  • Physical Therapy Clinic/Center
  • Elkins, WV
National Provider Identifier
1710191671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
WV002529 Issued in WV
Legal business name
BUCKHANNON MEDICAL REHABILITATION AND MASSAGE THERAPY
Practice address
1200 Harrison Ave
Suite G20
Elkins, WV 26241-3394
Phone
(304) 636-5777
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cortney Lane Taylor Felton, DPTNPI 1760695522
Title
Director of Rehabilitation
Phone
(304) 636-5777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X WV002529 WV Primary

Addresses

Primary practice location

1200 Harrison Ave
Suite G20
Elkins, WV 26241-3394

Mailing address

1200 Harrison Ave
Suite G20
Elkins, WV 26241-3394
Phone (304) 636-5777

Other names 1

  • Elkins Pain Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

1200 Harrison Ave
Ste G20
Elkins, WV 26241
Phone (304) 636-5777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710191671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HARRISON AVE",
            "address_2": "SUITE G20",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413394",
            "telephone_number": "304-636-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARRISON AVE",
            "address_2": "SUITE G20",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413394",
            "telephone_number": "304-636-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHANNON MEDICAL REHABILITATION AND MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELTON",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_middle_name": "LANE TAYLOR",
        "authorized_official_title_or_position": "DIRECTOR OF REHABILITATION",
        "authorized_official_telephone_number": "304-636-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WV",
            "license": "WV002529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkins Pain Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.