Active NPI
Colin Randall Pierce, PT, DPT
- Physical Therapist
- Point Pleasant, WV
National Provider Identifier
1720502339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003837
- Practice address
- 3407 Jackson Ave
Point Pleasant, WV 25550-1827 - Phone
- (304) 857-6532
- Fax
- (304) 857-6547
- NPI assigned
- Jul 26, 2017
- Last updated
- Jul 26, 2017
- Sex
- Male
- 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 | PT003837 | WV | Primary |
Addresses
Primary practice location
3407 Jackson Ave
Point Pleasant, WV 25550-1827
Mailing address
415 36TH St Ste 100
Parkersburg, WV 26101-1005
Phone (304) 917-3660
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 |
|---|---|---|---|
| PT003837 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain River Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Mountain River Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Parkersburg, WV
- NPI 1487668794
Physical Therapist
-
- Physical Therapy Clinic/Center
- New Martinsville, WV
- NPI 1710182274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1720502339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 36TH ST STE 100",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261011005",
"telephone_number": "304-917-3660",
"fax_number": "304-917-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 JACKSON AVE",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255501827",
"telephone_number": "304-857-6532",
"fax_number": "304-857-6547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "COLIN",
"middle_name": "RANDALL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT003837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Point Pleasant, WV
- Delilah Payne
- Michael Pearson
- Robin Pearson
- Teri Pearson
- Thomas J Piehowicz, DO
- Cleo Annette Pike, LMT
- Pleasant SNF LLC (Pleasant Valley Rehab & Nursing Center)
- Pleasant Valley Dialysis LLC
- Pleasant Valley Health Care Center, LLC (Pleasant Valley Nursing and Rehabilitation Center)
- Pleasant Valley Home Medical Equipment
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.