NPIMap

Organization Active NPI

Moving Forward Physical Therapy, Inc.

  • Rehabilitation Clinic/Center
  • Pennington Gap, VA
National Provider Identifier
1891124509
Registry record updated Nov 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MOVING FORWARD PHYSICAL THERAPY, INC.
Practice address
282 Westgate Mall Cir
Suite 104
Pennington Gap, VA 24277-2879
Phone
(276) 546-1234
NPI assigned
Nov 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2013

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

Authorized official

Name
Margaret R. Gibson, MPTNPI 1396175675
Title
President
Phone
(276) 275-3062

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

282 Westgate Mall Cir
Suite 104
Pennington Gap, VA 24277-2879

Mailing address

PO Box 482
Pennington Gap, VA 24277-0482

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140107001235 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3375771868 Practice locations: Big Stone Gap, VA; Pennington Gap, VA

National Provider Directory

National Provider Directory

Locations

123 Cane Creek Rd
Pennington Gap, VA 24277
Phone (276) 546-1234

282 Westgate Mall Cir
Ste 104
Pennington Gap, VA 24277
Phone (276) 275-3062

Practitioners & affiliated clinicians

Practitioners 9

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": "1383436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383436800000",
    "number": "1891124509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 482",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242770482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 WESTGATE MALL CIR",
            "address_2": "SUITE 104",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772879",
            "telephone_number": "276-546-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING FORWARD PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-03",
        "last_updated": "2013-11-03",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-275-3062",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2013; 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.