Organization Active NPI

Barboursville Physical Therapy

  • Physical Therapist
  • Barboursville, WV
National Provider Identifier
1861493314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BARBOURSVILLE PHYSICAL THERAPY
Practice address
6433 US Route 60 E
Suite 125
Barboursville, WV 25504-1226
Phone
(304) 736-3094
Fax
(304) 736-3149
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph R Crowder, PT
Title
Co.Partner
Phone
(304) 736-3094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6433 US Route 60 E
Suite 125
Barboursville, WV 25504-1226

Mailing address

6433 US Route 60 E
Suite 125
Barboursville, WV 25504-1226
Phone (304) 736-3094

Other identifiers 2

IdentifierTypeStateIssuer
CD9690OtherRR MEDICARE
9420081000MedicaidWV

National Provider Directory

National Provider Directory

Locations

5788 US Route 60
Ste 125
Barboursville, WV 25504
Phone (304) 526-1234

4554 Route 152
Lavalette, WV 25535
Phone (304) 522-7900

Practitioners & affiliated clinicians

Practitioners 4

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861493314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 US ROUTE 60 E",
            "address_2": "SUITE 125",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041226",
            "telephone_number": "304-736-3094",
            "fax_number": "304-736-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 US ROUTE 60 E",
            "address_2": "SUITE 125",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041226",
            "telephone_number": "304-736-3094",
            "fax_number": "304-736-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBOURSVILLE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO.PARTNER",
        "authorized_official_telephone_number": "304-736-3094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD9690",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9420081000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.