Angela M Hendershot, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02353 Issued in WV

Practice address

2195 Cheat Road
Suite 1
Morgantown, WV 26508

Phone

(304) 594-2500

Fax

(302) 594-9310

NPI assigned

Jan 4, 2006

Last updated

Aug 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Physical Therapy, Inc

  dba Fyzical Therapy and Balance Centers

  • Physical Therapist
  • Morgantown, WV
  • NPI 1487647004
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1871571422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 CHEAT RD",
            "address_2": "SUITE 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084451",
            "telephone_number": "304-594-2500",
            "fax_number": "305-594-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 CHEAT ROAD",
            "address_2": "SUITE 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26508",
            "telephone_number": "304-594-2500",
            "fax_number": "302-594-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSHOT",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "02353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002408",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Janet Helenski
• Amy E Helmkamp Harrison, APRN
• James Helms
• Emmett Helsel, DO
• Jacob Wayne Helsel Jr., DO
• Erick Henderson, OD, FAAO
• Emily Hendricks, MD
• Ann Elizabeth Hendrickson, CNS
• Luke Andrew Hendrickson
• Yi Fei Heng

• Physical Therapist in Morgantown, WV
• Providers in Morgantown, 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 Aug 8, 2007; 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.