Basic Information
| Provider Information | |||||||||
| NPI: | 1780634246 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FIRST SETTLEMENT PHYSICAL THERAPY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1500 GRAND CENTRAL AVE STE 101 | ||||||||
| Address2: | |||||||||
| City: | VIENNA | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261051079 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046932781 | ||||||||
| FaxNumber: | 3046932171 | ||||||||
| Practice Location | |||||||||
| Address1: | 1500 GRAND CENTRAL AVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | VIENNA | ||||||||
| State: | WV | ||||||||
| PostalCode: | 26105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3042953060 | ||||||||
| FaxNumber: | 3042953065 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2006 | ||||||||
| LastUpdateDate: | 04/10/2020 | ||||||||
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| AuthorizedOfficialLastName: | ROSS | ||||||||
| AuthorizedOfficialFirstName: | KATHRYN | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3046932781 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| NPICertificationDate: | 04/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | 1105661 | OH | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
ID Information
| ID | Type | State | Issuer | Description | 9308994 | 01 | PTN | OTHER |