Organization Active NPI

King Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Martinsburg, WV
National Provider Identifier
1871764209
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KING PHYSICAL THERAPY, INC.
Practice address
55 Meridian Pkwy Ste 110
Martinsburg, WV 25404-5422
Phone
(304) 262-8161
NPI assigned
Mar 13, 2008
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Karla R King, MPTNPI 1275608911
Title
President
Phone
(304) 262-8161

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

55 Meridian Pkwy Ste 110
Martinsburg, WV 25404-5422

Mailing address

55 Meridian Pkwy Ste 110
Martinsburg, WV 25404-5422
Phone (304) 262-8161

Other identifiers 3

IdentifierTypeStateIssuer
7923672OtherWVAETNA
001709268OtherWVBCBS
11547365OtherCAQH ID NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050202000089 WV Part B Supplier - Clinic/Group Practice 2365493848 Receives reassigned benefits from 2 practitioners
Practice locations: Martinsburg, WV

National Provider Directory

National Provider Directory

Locations

55 Meridian Pkwy
Ste 110
Martinsburg, WV 25404
Phone (304) 262-8161

772 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 262-8161

772 Foxcroft Ave
#14
Martinsburg, WV 25401
Phone (304) 262-8161

772 Foxcroft Ave
Ste 14
Martinsburg, WV 25401

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": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1871764209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERIDIAN PKWY STE 110",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045422",
            "telephone_number": "304-262-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERIDIAN PKWY STE 110",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045422",
            "telephone_number": "304-262-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-262-8161",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7923672",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001709268",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID NUMBER",
            "identifier": "11547365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.