NPIMap

Organization Active NPI

Advance Physical Therapy Specialists

  • Physical Therapist
  • Morgantown, WV
National Provider Identifier
1851716252
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANCE PHYSICAL THERAPY SPECIALISTS
Practice address
705 Greenbag Rd
Morgantown, WV 26508-1589
Phone
(304) 292-6699
Fax
(304) 292-2282
NPI assigned
Feb 22, 2014
Last updated
Nov 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Robert Stuart AcciavattiNPI 1477593234
Title
Owner/Manager
Phone
(304) 292-6699

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 Therapist 225100000X WV Primary

Addresses

Primary practice location

705 Greenbag Rd
Morgantown, WV 26508-1589

Mailing address

705 Greenbag Rd
Morgantown, WV 26508-1589
Phone (304) 292-6699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140609000038 WV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668696923 Receives reassigned benefits from 6 practitioners
Practice locations: Morgantown, WV

National Provider Directory

National Provider Directory

Locations

1900 Locust Ave
#2
Fairmont, WV 26554
Phone (304) 333-5222

174 Industrial Park Rd
Jane Lew, WV 26378
Phone (304) 884-8237

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1393027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1851716252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GREENBAG RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081589",
            "telephone_number": "304-292-6699",
            "fax_number": "304-292-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GREENBAG RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081589",
            "telephone_number": "304-292-6699",
            "fax_number": "304-292-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PHYSICAL THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-22",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "ACCIAVATTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "304-292-6699"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": null,
            "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 Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.