Active NPI
Amy Ball, PT
- Physical Therapist
- Cross Lanes, WV
National Provider Identifier
1861845596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002165
- Practice address
- 5320 Shadowbrook Rd
Cross Lanes, WV 25313-1727 - Phone
- (304) 610-0465
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002165 | WV | Primary |
Addresses
Primary practice location
5320 Shadowbrook Rd
Cross Lanes, WV 25313-1727
Mailing address
5320 Shadowbrook Rd
Cross Lanes, WV 25313-1727
Phone (304) 610-0465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002165 | Other | WV | WEST VIRGINIA BOARD OF PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002165 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1861845596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 SHADOWBROOK RD",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131727",
"telephone_number": "304-610-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 SHADOWBROOK RD",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131727",
"telephone_number": "304-610-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "AMY",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "002165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VIRGINIA BOARD OF PHYSICAL THERAPY",
"identifier": "002165",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cross Lanes, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.