Active NPI
Amy J. Isaly, MPT
- Pediatric Rehabilitation Medicine Physician
- Parkersburg, WV
National Provider Identifier
1760873863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- PT002157
- Practice address
- 1001 Emerson Ave
Parkersburg, WV 26104-2524 - Phone
- (304) 834-2072
- NPI assigned
- Feb 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002157 | WV | |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | PT002157 | WV | Primary |
Addresses
Primary practice location
1001 Emerson Ave
Parkersburg, WV 26104-2524
Mailing address
46 Silos
Williamstown, WV 26187
Phone (304) 834-2072
Other names 1
- Ms. Amy J. Robertson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT002157 | WV | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Chiropractor
- Parkersburg, WV
- NPI 1932318573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1760873863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 SILOS",
"city": "WILLIAMSTOWN",
"state": "WV",
"postal_code": "26187",
"telephone_number": "304-834-2072",
"fax_number": "304-202-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 EMERSON AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261042524",
"telephone_number": "304-834-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISALY",
"first_name": "AMY",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-10",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT002157",
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "WV",
"license": "PT002157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "ROBERTSON",
"middle_name": "J.",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.