Jeremy Scott Vipperman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004964 Issued in KY

Practice address

1540 Spring Valley Dr
1B125
Huntington, WV 25704-9300

Phone

(304) 429-6741

Fax

(304) 429-7579

NPI assigned

Mar 17, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1851615033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DR",
            "address_2": "1B125",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049300",
            "telephone_number": "304-429-6741",
            "fax_number": "304-429-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DR",
            "address_2": "1B125",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049300",
            "telephone_number": "304-429-6741",
            "fax_number": "304-429-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIPPERMAN",
        "first_name": "JEREMY",
        "middle_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather R Vincent
• Stacy Lynette Vines
• Candace Renae Vinson
• Shelbi L Vinson
• Kiersten Vint-Perry, MS, RDN, LD
• Marcel A Virachittevin
• Ethan Kyle Virgin, RN
• Voca Corporation of West Virginia, Inc.
• Voca Corporation of West Virginia, Inc.
• Voca Corporation of West Virginia, Inc.

• Physical Therapist in Huntington, WV
• Providers in Huntington, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.