1780634246 NPI number — FIRST SETTLEMENT PHYSICAL THERAPY

Table of content: (NPI 1780634246)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780634246 NPI number — FIRST SETTLEMENT PHYSICAL THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FIRST SETTLEMENT PHYSICAL THERAPY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780634246
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 GRAND CENTRAL AVE STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIENNA
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26105-1079
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-693-2781
Provider Business Mailing Address Fax Number:
304-693-2171

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 GRAND CENTRAL AVE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
VIENNA
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-295-3060
Provider Business Practice Location Address Fax Number:
304-295-3065
Provider Enumeration Date:
05/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CAPLINGER
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
304-693-2178

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  1105661 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9308994 . This is a "PTN" identifier . This identifiers is of the category "OTHER".




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