Individual provider Active NPI

Amy M Lancaster, DPT

  • Physical Therapist
  • Fairmont, WV
National Provider Identifier
1982977989
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002949 Issued in WV
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

Updated by the provider on Feb 22, 2012

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 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 IDStateProvider typePAC IDDetails
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.Group PAC ID 2365522851, 21 clinicians

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

LicenseStateTypeSpecialty
002949WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Morgantown Physical Therapy Associates, Inc. Physical Therapist CurrentSince Oct 29, 2012 Accepting new patients
Morgantown Physical Therapy Associates, Inc. CurrentSince Oct 29, 2012 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.

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.

Verify at the official NPI Registry.