Individual provider Active NPI

Amy Dee McKitrick

  • Physical Therapist
  • Martinsburg, WV
National Provider Identifier
1720799539
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000586 Issued in WV
Practice address
1314 Edwin Miller Blvd Ste 101
Martinsburg, WV 25404-5717
Phone
(304) 728-1750
Fax
(304) 728-1791
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 000586 WV Primary

Addresses

Primary practice location

1314 Edwin Miller Blvd Ste 101
Martinsburg, WV 25404-5717

Mailing address

1314 Edwin Miller Blvd Ste 101
Martinsburg, WV 25404-5717
Phone (304) 728-1750

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL amy.mckitrick@WVUmedicine.org Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000586WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wvuhs Home Care, LLC PastSince Dec 18, 2022 Accepting new patients
Wvuhs Home Care, LLC PastSince Dec 18, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1720799539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 EDWIN MILLER BLVD STE 101",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045717",
            "telephone_number": "304-728-1750",
            "fax_number": "304-728-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 EDWIN MILLER BLVD STE 101",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045717",
            "telephone_number": "304-728-1750",
            "fax_number": "304-728-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKITRICK",
        "first_name": "AMY",
        "middle_name": "DEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "000586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amy.mckitrick@WVUmedicine.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1314 Edwin Miller Blvd Ste 101",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254045717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.