Individual provider Active NPI

Thomas P Chrisley, PT

  • Physical Medicine & Rehabilitation Physician
  • Charleston, WV
National Provider Identifier
1972296754
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4646 Issued in WV
Practice address
301 RHL Blvd
Ste 202
Charleston, WV 25309-8273
Phone
(304) 746-9200
Fax
(304) 746-9202
NPI assigned
May 30, 2023
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000912 WV Practitioner - Physical Therapist in Private Practice 7214397652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4646WVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Physical Therapy Specialists Inc CurrentSince Jun 14, 2023 Accepting new patients
Huntington Physical Therapy Services Inc PastSince Jun 4, 2023 Accepting new patients

Locations

301 Rhl
Ste 202
South Charleston, WV 25309
Phone (304) 746-9200

301 Rhl
South Charleston, WV 25309
Phone (304) 746-9200

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4646 WV Primary

Addresses

Primary practice location

301 RHL Blvd
Ste 202
Charleston, WV 25309-8273

Mailing address

301 RHL Blvd
Ste 202
Charleston, WV 25309-8273
Phone (304) 746-9200

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1972296754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RHL BLVD",
            "address_2": "STE 202",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253098273",
            "telephone_number": "304-746-9200",
            "fax_number": "304-746-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RHL BLVD",
            "address_2": "STE 202",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253098273",
            "telephone_number": "304-746-9200",
            "fax_number": "304-746-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISLEY",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "4646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.