Active NPI
Olivia Croston, PTA
- Physical Therapy Assistant
- Fairmont, WV
National Provider Identifier
1962310243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 003087
- Practice address
- 1539 Country Club Rd
Fairmont, WV 26554-1306 - Phone
- (304) 366-9100
- NPI assigned
- Aug 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 003087 | WV | Primary |
Addresses
Primary practice location
1539 Country Club Rd
Fairmont, WV 26554-1306
Mailing address
433 Morrel Holw
Philippi, WV 26416-7356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1962310243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 MORREL HOLW",
"city": "PHILIPPI",
"state": "WV",
"postal_code": "264167356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1539 COUNTRY CLUB RD",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541306",
"telephone_number": "304-366-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSTON",
"first_name": "OLIVIA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "003087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.