Healthcare Provider Details

I. General information

NPI: 1548088230
Provider Name (Legal Business Name): FIRST SETTLEMENT PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 WALNUT ST
SHINNSTON WV
26431-1154
US

IV. Provider business mailing address

1500 GRAND CENTRAL AVE STE 101
VIENNA WV
26105-1079
US

V. Phone/Fax

Practice location:
  • Phone: 304-592-5041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAURA CAPLINGER
Title or Position: CREDENTIALING DIRECTOR
Credential:
Phone: 304-693-2178