Individual provider Active NPI

Marjorie J. Weigel, P.T.

  • Physical Therapist
  • Huntington, WV
National Provider Identifier
1902886906
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
255 Issued in WV
Practice address
1426 6TH Ave
Suite 100 Centennial Building
Huntington, WV 25701-2421
Phone
(304) 523-4555
Fax
(304) 525-1736
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 255 WV Primary

Addresses

Primary practice location

1426 6TH Ave
Suite 100 Centennial Building
Huntington, WV 25701-2421

Mailing address

1426 6TH Ave
Suite 100 Centennial Building
Huntington, WV 25701-2421
Phone (304) 523-4555

Other identifiers 3

IdentifierTypeStateIssuer
0157256000MedicaidWV
0502432MedicaidOH
8700072500MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Home Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902886906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 6TH AVE",
            "address_2": "SUITE 100 CENTENNIAL BUILDING",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012421",
            "telephone_number": "304-523-4555",
            "fax_number": "304-525-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 6TH AVE",
            "address_2": "SUITE 100 CENTENNIAL BUILDING",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012421",
            "telephone_number": "304-523-4555",
            "fax_number": "304-525-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "MARJORIE",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157256000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0502432",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700072500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.