Active NPI
Joseph Daniel Pennington, DPT
- Orthopedic Physical Therapist
- Morgantown, WV
National Provider Identifier
1780819201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 002272
- Practice address
- 460 Mylan Park LN
Morgantown, WV 26501-2281 - Phone
- (304) 983-7766
- NPI assigned
- May 28, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 002272 | WV | |
| Orthopedic Physical Therapist | 2251X0800X | 002272 | WV | Primary |
Addresses
Primary practice location
460 Mylan Park LN
Morgantown, WV 26501-2281
Mailing address
460 Mylan Park LN
Morgantown, WV 26501-2281
Phone (304) 983-7766
Other practice location 1
937 Ashton Pl
Morgantown, WV 26508-6874
Phone (304) 376-5114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170628003299 | WV | Practitioner - Physical Therapist in Private Practice | 0345519799 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
460 Mylan Park LN
Morgantown, WV 26501-2281
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002272 | WV | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Medical Rehabilitation Inc. | Current | Accepting new patients | |
| Redstone Rehabilitation Group Inc | Past | Accepting new patients | |
| Teresa L. White | Past | Accepting new patients |
Locations
460 Mylan Park Ln
Morgantown, WV 26501
Phone (304) 983-2771
360 Suncrest Town Centre Dr
Morgantown, WV 26505
Phone (304) 554-0516
Organizations & group practices 3
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 Medicine & Rehabilitation Physician
- Morgantown, WV
- NPI 1346434867
-
- Massage Therapist
- Morgantown, WV
- NPI 1467668368
-
- Physical Therapy Clinic/Center
- Uniontown, PA
- NPI 1194704890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1780819201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 MYLAN PARK LN",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265012281",
"telephone_number": "304-983-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 MYLAN PARK LN",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265012281",
"telephone_number": "304-983-7766"
}
],
"practiceLocations": [
{
"address_1": "937 Ashton Pl",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265086874",
"country_code": "US",
"telephone_number": "304-376-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENNINGTON",
"first_name": "JOSEPH",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "WV",
"license": "002272",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WV",
"license": "002272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.