Individual provider Active NPI

Pamelyn Suzanne Gregory, MPT

  • Physical Therapist
  • Martinsburg, WV
National Provider Identifier
1780818658
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1665 Issued in WV
Practice address
505 Lost Rd
Martinsburg, WV 25403-0813
Phone
(304) 268-4670
Fax
(304) 262-6061
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 1665 WV Primary

Addresses

Primary practice location

505 Lost Rd
Martinsburg, WV 25403-0813

Mailing address

772 Foxcroft Ave
Martinsburg, WV 25401-1838
Phone (304) 262-8161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121121000214 WV Practitioner - Physical Therapist in Private Practice 8123279155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King Physical Therapy IncGroup PAC ID 2365493848, 2 clinicians

Practice addresses (Care Compare)

55 Meridian Pkwy
Suite 110
Martinsburg, WV 25404-5422
Phone (304) 262-8161

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
81.44
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1665WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
King Physical Therapy, Inc. CurrentSince Oct 25, 2012 Accepting new patients

Locations

772 Foxcroft Ave
#14
Martinsburg, WV 25401
Phone (304) 262-8161

772 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 262-8161

55 Meridian Pkwy
Ste 110
Martinsburg, WV 25404
Phone (304) 262-8161

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.

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1780818658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 FOXCROFT AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011838",
            "telephone_number": "304-262-8161",
            "fax_number": "304-262-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 LOST RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254030813",
            "telephone_number": "304-268-4670",
            "fax_number": "304-262-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "PAMELYN",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "1665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.