Individual provider Active NPI

Savannah Pixote McClung, DPT

  • Physical Therapist
  • Ronceverte, WV
National Provider Identifier
1932348646
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002738 Issued in WV
Practice address
111 Davis Stuart Road
Ronceverte, WV 24970
Phone
(304) 647-3987
Fax
(304) 647-3990
NPI assigned
Feb 19, 2009
Last updated
Feb 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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 002738 WV Primary

Addresses

Primary practice location

111 Davis Stuart Road
Ronceverte, WV 24970

Mailing address

111 Davis Stuart Road
Ronceverte, WV 24970
Phone (304) 647-3987

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000008 WV Practitioner - Physical Therapist in Private Practice 0749338937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2947 Jefferson St N
Suite 1
Lewisburg, WV 24901-5796
Phone (304) 645-2525

390 John Raine Dr
Rainelle, WV 25962-1462
Phone (304) 438-9225

3942 Davis Stuart Rd
Suite 3
Ronceverte, WV 24970-0269
Phone (304) 647-3987

4914 Potomac Highlands TRL
Green Bank, WV 24944-8507
Phone (681) 206-7107

497 Oak Mall Rd B
Oak Hill, WV 25901-6115
Phone (800) 699-9395

514 Beckley Crossing SHPG Ctr
Beckley, WV 25801-7110
Phone (304) 250-0428

76 Bud Ridge Rd
Union, WV 24983-9517
Phone (304) 772-5639

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
71.18
Promoting interoperability
92
Improvement activities
40
Cost
79.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002738WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Valley Physical Therapy, LLC CurrentSince Feb 2, 2009 Accepting new patients
Greenbrier Valley Physical Therapy LLC CurrentSince Feb 2, 2009 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Physical Therapist Current Accepting new patients

Locations

2947 Jefferson St N
Ste 1
Lewisburg, WV 24901
Phone (304) 645-2525

3942 Davis Stuart Rd
Ste 3
Ronceverte, WV 24970
Phone (304) 647-3987

Organizations & group practices 3

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": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1932348646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DAVIS STUART ROAD",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970",
            "telephone_number": "304-647-3987",
            "fax_number": "304-647-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAVIS STUART ROAD",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970",
            "telephone_number": "304-647-3987",
            "fax_number": "304-647-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "SAVANNAH",
        "middle_name": "PIXOTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "002738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.