Individual provider Active NPI

Amanda McDonald, DPT

  • Physical Therapist
  • Vienna, WV
National Provider Identifier
1770913337
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 003249 Issued in WV
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

Updated by the provider on Dec 20, 2017

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 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, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 TherapyGroup PAC ID 7113914631, 97 clinicians

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 100Reported as group
Quality
87.12
Promoting interoperability
100
Improvement activities
40
Cost
70.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 003249WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy Physical Therapist CurrentSince Dec 2, 2013 Accepting new patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
First Settlement Physical Therapy Physical Therapist CurrentSince Dec 16, 2019 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.

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.

Verify at the official NPI Registry.