Healthcare Provider Details

I. General information

NPI: 1437191756
Provider Name (Legal Business Name): MORGANTOWN PHYSICAL THERAPY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 MAPLE DR
MORGANTOWN WV
26505-2812
US

IV. Provider business mailing address

943 MAPLE DR
MORGANTOWN WV
26505-2812
US

V. Phone/Fax

Practice location:
  • Phone: 304-599-2515
  • Fax: 304-285-3738
Mailing address:
  • Phone: 304-599-2515
  • Fax: 304-285-3738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOHN F DUGGAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 717-972-1100