Katherine Ann Frush, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1101 Issued in WV

Practice address

130 Kaufman Dr
Fairmont, WV 26554-2179

Phone

(304) 363-4891

Fax

(304) 363-4891

NPI assigned

Apr 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881819456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BAVER ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263013403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KAUFMAN DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542179",
            "telephone_number": "304-363-4891",
            "fax_number": "304-363-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUSH",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Edward Frank, M.D.
• Agnes Marie Franz, MD
• Melinda Frazee
• Victoria Marie Freeland
• FRMC Physicians, Inc.
• Tina Renee Frye
• Jezzeriah Fulaytar
• Ashley Nicole Fultineer
• Gracie Fultineer
• Robert Clinton Funk II, LICSW

• Physical Therapy Assistant in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Physical Therapy Assistant in West Virginia

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