Healthcare Provider Details

I. General information

NPI: 1194759092
Provider Name (Legal Business Name): CAROLYN SUE POSTON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYN SUE SIBRAY

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PEYTON WAY STE 100
CHARLESTON WV
25309-8545
US

IV. Provider business mailing address

400 COURT ST STE 100
CHARLESTON WV
25301-1652
US

V. Phone/Fax

Practice location:
  • Phone: 304-720-6747
  • Fax: 304-720-6749
Mailing address:
  • Phone: 304-347-6120
  • Fax: 304-347-6142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT001712
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: