Active NPI
Amanda McDonald, DPT
- Physical Therapist
- Vienna, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 003249
- Practice address
- 1500 Grand Central Ave
Suite 101
Vienna, WV 26105-1079 - Phone
- (304) 295-3060
- Fax
- (304) 295-3068
- NPI assigned
- Nov 19, 2013
- Sex
- Female
- 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 | PT 003249 | WV | Primary |
Addresses
Primary practice location
1500 Grand Central Ave
Suite 101
Vienna, WV 26105-1079
Mailing address
809 Farson St
Suite 105
Belpre, OH 45714-1066
Phone (740) 423-1507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131206001700 | OH | Practitioner - Physical Therapist in Private Practice | 5991932493 | Reassigns benefits to 1 organization |
| I20140113000249 | WV | Practitioner - Physical Therapist in Private Practice | 5991932493 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Settlement Physical Therapy
Practice addresses (Care Compare)
1405 Elizabeth Pike
Suite 103
Mineral Wells, WV 26150-1111
Phone (304) 451-3150
1500 Grand Central Ave
Suite 101
Vienna, WV 26105-1079
Phone (304) 295-3016
611 2ND St
Suite a
Marietta, OH 45750-2167
Phone (740) 568-0650
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.35 of 100
- Quality
- 87.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 003249 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Settlement Physical Therapy | Physical Therapist | Current | Accepting new patients |
| First Settlement Physical Therapy | Physical Therapist | Current | Accepting new patients |
| First Settlement Physical Therapy | Physical Therapist | Current | Accepting new patients |
| First Settlement Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Athens Xray LLC | Past | Accepting new patients |
Locations
2434 Richmiller Ln
Unit B
Belpre, OH 45714
Phone (740) 423-1500
611 2nd St
Ste A
Marietta, OH 45750
Phone (740) 568-0650
55 White Oak Woods Dr
Vincent, OH 45784
Phone (740) 678-8000
1001 Bridge Rd
Charleston, WV 25314
Phone (304) 759-8428
1405 Elizabeth Pike
Ste 103
Mineral Wells, WV 26150
Phone (304) 451-3150
2837 Pike St
#A
Parkersburg, WV 26101
Phone (304) 489-2230
240 Washington St
Ravenswood, WV 26164
Phone (304) 273-8071
1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Charleston, WV
- NPI 1093202665
Physical Therapist, WV
-
- Physical Therapy Clinic/Center
- Vienna, WV
- NPI 1780634246
Physical Therapist, WV
-
- Physical Therapy Clinic/Center
- Belpre, OH
- NPI 1134170426
OH, Physical Therapist
-
- Physical Therapy Clinic/Center
- Marietta, OH
- NPI 1962453100
Physical Therapist
-
- Physical Therapist
- Athens, OH
- NPI 1265854780
-
- Diagnostic Radiology Physician
- Athens, OH
- NPI 1093189482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1770913337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 FARSON ST",
"address_2": "SUITE 105",
"city": "BELPRE",
"state": "OH",
"postal_code": "457141066",
"telephone_number": "740-423-1507",
"fax_number": "740-401-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 GRAND CENTRAL AVE",
"address_2": "SUITE 101",
"city": "VIENNA",
"state": "WV",
"postal_code": "261051079",
"telephone_number": "304-295-3060",
"fax_number": "304-295-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "AMANDA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT 003249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.