NPIMap

Organization Active NPI

Dynamic Physical Therapy and Hand Center, LLC

  • Physical Therapist
  • Charleston, WV
National Provider Identifier
1780781971
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001222 Issued in WV
Legal business name
DYNAMIC PHYSICAL THERAPY AND HAND CENTER, LLC
Practice address
6 Courtney Dr
Sedgley Office Park
Charleston, WV 25304-2696
Phone
(304) 720-5433
Fax
(304) 720-5436
NPI assigned
Sep 20, 2006
Last updated
Nov 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Todd A Warner, PT, CHT
Title
Owner/Physical Therapist
Phone
(304) 720-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 001222 WV Primary

Addresses

Primary practice location

6 Courtney Dr
Sedgley Office Park
Charleston, WV 25304-2696

Mailing address

6 Courtney Dr
Sedgley Office Park
Charleston, WV 25304-2696
Phone (304) 720-5433

Other identifiers 1

IdentifierTypeStateIssuer
3810004533MedicaidWV

National Provider Directory

National Provider Directory

Locations

6 Courtney Dr
Ofc Park
Charleston, WV 25304
Phone (304) 720-5433

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1780781971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COURTNEY DR",
            "address_2": "SEDGLEY OFFICE PARK",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042696",
            "telephone_number": "304-720-5433",
            "fax_number": "304-720-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COURTNEY DR",
            "address_2": "SEDGLEY OFFICE PARK",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042696",
            "telephone_number": "304-720-5433",
            "fax_number": "304-720-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY AND HAND CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "304-720-5433",
        "authorized_official_credential": "PT, CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004533",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.