Stephen Douglas Vorholt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

585 Issued in WV

Practice address

4825 Maccorkle Ave SW Ste F
South Charleston, WV 25309-1365

Phone

(304) 346-9667

Fax

(304) 346-9717

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Centerwell Certified Healthcare Corp.

  dba CenterWell Home Health

  • Home Health Agency
  • South Charleston, WV
  • NPI 1356370639
  NPD
• Centerwell Certified Healthcare Corp

  dba CenterWell Home Health

  • Home Health Agency
  • Avon, IN
  • NPI 1972750859
  NPD (past)

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1730865163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 STILL WATER RUN",
            "city": "POCA",
            "state": "WV",
            "postal_code": "251598976",
            "telephone_number": "304-389-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 MACCORKLE AVE SW STE F",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091365",
            "telephone_number": "304-346-9667",
            "fax_number": "304-346-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORHOLT",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Vickers
• Danielle Vickers
• Vinodrai B Lakhani MD
• Vivian L. French, DDS
• Russell Irvin Voltin, M.D.
• Danielle Magro Wade, D.D.S.
• Natasha Wade
• William Alexander Wade, MD
• Joseph Waggoner
• Shiann Waggoner

• Physical Therapist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.