Shanda Reynolds McNew, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002039 Issued in WV

Practice address

RR 3 Box 1527
Kingwood, WV 26537-9711

Phone

(304) 329-3739

Fax

(304) 329-3250

NPI assigned

Dec 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preston Rehabilitation and Orthopedic Physical Therapy, IncGroup PAC ID 6002704798, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Preston Rehabilitation & Orthopedic Physical Therapy, Inc

  • Physical Therapist
  • Kingwood, WV
  • NPI 1497700918
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942362959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SEEMONT DR",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371706",
            "telephone_number": "304-329-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 1527",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265379711",
            "telephone_number": "304-329-3739",
            "fax_number": "304-329-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEW",
        "first_name": "SHANDA",
        "middle_name": "REYNOLDS",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "002039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7304011000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Nichole Mayle, RN
• Diane Marie McCauley
• Sharon G McMillen, M.A.
• Bethany Diane McNair, FNP-BC
• Jason Edward McNair
• Sally Virginia Menear
• Zachary Milan Metheny, DOCTOR OF PHARMACY
• Jonathan Robert Metke, PA
• Dale Meyers, M.D.
• Miller Leasing Co., LLC (Kingwood Healthcare Center)

• Physical Therapist in Kingwood, WV
• Providers in Kingwood, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.