Active NPI
Joint Integrity Hand Therapy, LLC
- Occupational Therapist
- Clarksburg, WV
National Provider Identifier
1912228040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1073
- Legal business name
- JOINT INTEGRITY HAND THERAPY, LLC
- Practice address
- 337 E Main St
Clarksburg, WV 26301-2127 - Phone
- (304) 366-4018
- NPI assigned
- Jun 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Travis Wycoff, OTR/L,CHT
- Title
- Owner
- Phone
- (304) 366-4018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1073 | WV | Primary |
Addresses
Primary practice location
337 E Main St
Clarksburg, WV 26301-2127
Mailing address
726 E Park Ave
Pmb280
Fairmont, WV 26554-4115
Phone (304) 366-4018
National Provider Directory
National Provider DirectoryLocations
726 E Park Ave
Fairmont, WV 26554
Phone (304) 366-4455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276214400000",
"number": "1912228040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 E PARK AVE",
"address_2": "PMB280",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265544115",
"telephone_number": "304-366-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 E MAIN ST",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263012127",
"telephone_number": "304-366-4018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOINT INTEGRITY HAND THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-11",
"last_updated": "2010-06-11",
"status": "A",
"authorized_official_last_name": "WYCOFF",
"authorized_official_first_name": "TRAVIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-366-4018",
"authorized_official_credential": "OTR/L,CHT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.