Provider Demographics
NPI:1922059641
Name:HUNTINGTON PHYSICAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:HUNTINGTON PHYSICAL THERAPY SERVICES INC
Other - Org Name:HPT PHYSICAL THERAPY SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:B
Authorized Official - Last Name:OXLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:304-525-4445
Mailing Address - Street 1:2240 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25703-1239
Mailing Address - Country:US
Mailing Address - Phone:304-525-4445
Mailing Address - Fax:304-529-7449
Practice Address - Street 1:2240 5TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25703-1239
Practice Address - Country:US
Practice Address - Phone:304-525-4445
Practice Address - Fax:304-529-7449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV9301841Medicare ID - Type UnspecifiedMEDICARE NUMBER