Active NPI
Amy M Lancaster, DPT
- Physical Therapist
- Fairmont, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002949
- Practice address
- 719 Fairmont Ave
Suite 102
Fairmont, WV 26554 - Phone
- (304) 363-8543
- Fax
- (304) 363-0173
- NPI assigned
- Feb 22, 2012
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 002949 | WV | Primary |
Addresses
Primary practice location
719 Fairmont Ave
Suite 102
Fairmont, WV 26554
Mailing address
719 Fairmont Ave Ste 102
Fairmont, WV 26554-5118
Phone (304) 363-8543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120427000627 | WV | Practitioner - Physical Therapist in Private Practice | 1355503822 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- West Virginia University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morgantown Physical Therapy Associates, Inc.
Practice addresses (Care Compare)
1 Huntington Way
Suite 200
Fairmont, WV 26554-8819
Phone (681) 839-1009
103 Professional Arts Plaza Dr
Buckhannon, WV 26201-4698
Phone (304) 427-0181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002949 | WV | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgantown Physical Therapy Associates, Inc. | Physical Therapist | Current | Accepting new patients |
| Morgantown Physical Therapy Associates, Inc. | Current | Accepting new patients |
Locations
103 Professional Arts Plaza Dr
Buckhannon, WV 26201
Phone (304) 427-0181
1228 Country Club Rd
Ste 15
Fairmont, WV 26554
Phone (304) 366-0461
943 Maple Dr
Morgantown, WV 26505
Phone (304) 599-2515
200 Fairchance Rd
Morgantown, WV 26508
Phone (304) 594-1545
729 Fairmont Rd
Ste 101
Westover, WV 26501
Phone (304) 413-4515
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 and National Provider Directory roles.
-
- Physical Therapist
- Morgantown, WV
- NPI 1437191756
-
- Physical Therapy Clinic/Center
- Fairmont, WV
- NPI 1255136271
-
- Durable Medical Equipment & Medical Supplies
- Morgantown, WV
- NPI 1922486026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1982977989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 FAIRMONT AVE STE 102",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265545118",
"telephone_number": "304-363-8543",
"fax_number": "304-363-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 FAIRMONT AVE",
"address_2": "SUITE 102",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-363-8543",
"fax_number": "304-363-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "AMY",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "002949",
"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 Feb 22, 2012; 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.