Organization Active NPI

Ferdinand P Sorongon

  • Physical Therapy Clinic/Center
  • Dunbar, WV
National Provider Identifier
1790817104
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
WV000937 Issued in WV
Legal business name
FERDINAND P SORONGON
Doing business as
Kanawha Valley Physical Therapy Ctr
Practice address
1313 Dunbar Ave
Dunbar, WV 25064-2920
Phone
(304) 768-3307
Fax
(304) 768-3620
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Ferdinand Padilla Sorongon, PHYSICAL THERAPISTNPI 1548379332
Title
Administrator Owner
Phone
(304) 546-7903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X WV000937 WV Primary

Addresses

Primary practice location

1313 Dunbar Ave
Dunbar, WV 25064-2920

Mailing address

1313 Dunbar Ave
Dunbar, WV 25064-2920
Phone (304) 768-3307

Other names 1

  • Kanawha Valley Physical Therapy Ctr Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1790817104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 DUNBAR AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642920",
            "telephone_number": "304-768-3307",
            "fax_number": "304-768-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DUNBAR AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642920",
            "telephone_number": "304-768-3307",
            "fax_number": "304-768-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERDINAND P SORONGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SORONGON",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_middle_name": "PADILLA",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "304-546-7903",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WV",
            "license": "WV000937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kanawha Valley Physical Therapy Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunbar, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.