Individual provider Active NPI

Mary Tout-Pou, DPT

  • Physical Therapist
  • Charleston, WV
National Provider Identifier
1902410921
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
313 Maccorkle Ave SW Ste 100
Charleston, WV 25303-1207
Phone
(304) 746-3704
NPI assigned
Sep 8, 2020
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

313 Maccorkle Ave SW Ste 100
Charleston, WV 25303-1207

Mailing address

750 Saratoga TRL
Medina, OH 44256-7156
Phone (440) 554-3293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019000386 WV Practitioner - Physical Therapist in Private Practice 9638599384 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
First Settlement Physical Therapy Physical Therapist CurrentSince Sep 2, 2020 Accepting new patients
First Settlement Physical Therapy Physical Therapist CurrentSince Sep 2, 2020 Accepting new patients
First Settlement Phycial Therapy Physical Therapist CurrentSince Sep 2, 2020 Accepting new patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients

Locations

1001 Bridge Rd
Charleston, WV 25314
Phone (304) 759-8428

2837 Pike St
#A
Parkersburg, WV 26101
Phone (304) 489-2230

240 Washington St
Ravenswood, WV 26164
Phone (304) 273-8071

313 Maccorkle Ave SW
South Charleston, WV 25303
Phone (304) 744-2300

313 Maccorkle Ave SW
Ste 100
South Charleston, WV 25303
Phone (304) 744-5891

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1902410921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SARATOGA TRL",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567156",
            "telephone_number": "440-554-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MACCORKLE AVE SW STE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253031207",
            "telephone_number": "304-746-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUT-POU",
        "first_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.