WINCHESTER PHYSICAL THERAPY & SPORTS MEDICINE, INC. (NPI# 1073613238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073613238 |
| Entity Type | Organization |
| Organization Name | WINCHESTER PHYSICAL THERAPY & SPORTS MEDICINE, INC. |
| Practice Address |
112 S Reymann St Ranson WV 25438-1730 |
| Practice Telephone | 3047253632 |
| Practice Fax Number | 3047258252 |
| Mailing Telephone | 3047253632 |
| Mailing Fax Number | 3047258252 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | GREGORY T HUMPHREYS (PRESIDENT) |
| Authorized Official Telephone | 3047253632 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 00269 | WV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 3810004945 | 05 | |
| WV | 3810004944 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841399425 | Winchester Physical Therapy & Sports Medicine, Inc. | Specialist | 130 Medical Cir, Winchester, VA 22601-3322 | 2006-09-21 |
| Street Address |
112 S REYMANN ST |
| City | RANSON |
| State | WV |
| Zip Code | 25438-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912399445 | Winchester Orthopaedic Physical Therapy LLC | Physical Therapist | 112 S Reymann St, Ranson, WV 25438-1730 | 2015-02-20 |
| 1255418562 | Gregory T. Humphreys | Specialist | 112 S Reymann St, Ranson, WV 25438-1730 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770768020 | Sheila Marie Blazer | Speech-Language Pathologist | 600 North Preston Street, Ranson Elementary School, Ranson, WV 25438 | 2008-01-07 |
| 1619185121 | James Scott Boyd | Pharmacist | 201 S, Preston Street, Ranson, WV 25438 | 2007-05-18 |
| 1881815389 | Philip Sumner Grove | Pathology | 300 S Preston Street, Ranson, WV 25438 | 2007-05-01 |
| 1538192877 | Weis Markets Inc | Pharmacy | 217 Oak Lee Dr, Suite 15, Ranson, WV 25438 | 2006-07-09 |
| 1083668966 | Kara Jones-schubart | Nurse Practitioner | 1212 N. Mildreed St, Room 303, Ranson, WV 25438 | 2006-05-22 |
| 1154396612 | Angela M Taylor | Nurse Anesthetist, Certified Registered | 300 S Preston St, Ranson, WV 25438 | 2006-02-20 |
| 1568465771 | Ronald Ray Spruill Jr. | Physician Assistant | 100 Oak Lee Drive, Ranson, WV 25438 | 2005-05-23 |
| 1720588445 | Margaret M Harris | Physician Assistant | 100 Oak Lee Dr, Ranson, WV 25438 | 2018-02-19 |
| 1841711512 | East Mountain Health Physicians, Inc. | Clinic/Center | 100 Oak Lee Drive, Ranson, WV 25438 | 2017-07-03 |
| 1659806602 | East Mountain Health Physicians, Inc. | Clinic/Center | 100 Oak Lee Drive, Ranson, WV 25438 | 2017-04-27 |
| Find all providers in zip 25438 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255418562 | Gregory T. Humphreys | Specialist | 112 S Reymann St, Ranson, WV 25438-1730 | 2006-11-01 |
| 1578597498 | Thanigasalam Arumuganathan | Specialist | 127 E 2nd Ave, Ranson, WV 25438-1647 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171013 | Nicole Maynor | Specialist | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-07-21 |
| 1992262257 | Marnie Rustemeyer | Specialist | 1306 Kanawha Blvd E Ste 1001306, Charleston, WV 25301-3000 | 2019-02-22 |
| 1528599800 | Angela Dawn Harold | Specialist | 2241 Ritter Dr, Daniels, WV 25832-2241 | 2017-03-27 |
| 1770023244 | Katelynn Decker | Specialist | 428 W Martin St, Martinsburg, WV 25401-2747 | 2017-03-03 |
| 1699227751 | Sara Elizabeth Hill | Specialist | Sr 3 and 12, Talcott, WV 24981 | 2016-10-25 |
| 1558818294 | Keri Browning | Specialist | 294 Shawnee Cir, Monaville, WV 25601-9631 | 2016-09-09 |
| 1356715429 | Body Kneads LLC | Specialist | 19 Main Ave, Logan, WV 25601-3332 | 2015-11-30 |
| 1982071866 | Archer Massage and Wellness | Specialist | 6 Harman Ctr, Grafton, WV 26354-1559 | 2015-08-27 |
| 1003299652 | Wmc Physician Practices LLC | Specialist | 651 Colliers Way Ste 300, Weirton, WV 26062-5058 | 2015-07-01 |
| 1710360367 | Wmc Physician Practices LLC | Specialist | 651 Colliers Way Ste 309, Weirton, WV 26062-5055 | 2015-07-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.