MRS. STEPHANIE MARIE FOUTTY MPT, ATC, NPI 1164613782 — ELLENBORO (WV)

NPI 1164613782

12+ Years Experience Individual

MRS. STEPHANIE MARIE FOUTTY MPT, ATC

08.08.2007
PROVIDER ENUMERATION DATE
05/27/2016
LAST UPDATE DATE
1164613782
NPI NUMBER

About MRS. STEPHANIE MARIE FOUTTY

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

MRS. STEPHANIE MARIE FOUTTY is a provider established in ELLENBORO, WV. The NPI number of MRS. STEPHANIE MARIE FOUTTY is 1164613782 and was assigned on 08.08.2007. The practitioners primary taxonomy code is: 225100000X with license number: PT002637 WV .

Mailing address

  • City: PARKERSBURG
  • State: WV
  • Postal code: 261011005
  • Phone: 3049173660
  • Fax: 3049173674
  • Address: 415 36TH ST
  • Address 2: SUITE 100

Primary Practice Address

  • Region : ELLENBORO, WV
  • NPI : 1164613782
  • Phone : 3048693888
  • Fax : 3048693444
  • Postalcode : 263460328
  • Address : 117 W. WAGNER STREET

Additional identifiers

  • Identifier: 3810009961
  • Code / Type : 5 - MEDICAID
  • Identifier state : WV

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 137817
  • Code / Type : 5 - MEDICAID
  • Identifier state : OH

Provider taxonomy - Physical Therapist

  • Taxonomy code: 225100000X
  • License number: PT002637
  • License state: WV

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT"s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.

Contacts:

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  • MRS. STEPHANIE MARIE FOUTTY MPT, ATC
  • Address : 117 W. WAGNER STREET
  • Region : ELLENBORO, WV
  • NPI : 1164613782
  • Phone : 3048693888
  • Fax : 3048693444
  • Postalcode : 263460328

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address117 W. WAGNER STREET
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameELLENBORO
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameWV
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code263460328
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3048693888
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3048693444
The fax number associated with the location address of the provider being identified.
NPI1164613782
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1225100000X
(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT"s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Provider Enumeration Date08.08.2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated05/27/2016
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MRS. STEPHANIE MARIE FOUTTY
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address415 36TH ST
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressSUITE 100
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NamePARKERSBURG
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameWV
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code261011005
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3049173660
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3049173674
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1225100000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Physical Therapist
(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT"s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Provider License Number 1PT002637
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1WV
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 13810009961
Other Provider Identifier #1
Other Provider Identifier Type 15
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1WV
Other Provider Identifier State #1
Other Provider Identifier 2137817
Other Provider Identifier #2
Other Provider Identifier Type 25
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2OH
Other Provider Identifier State #2
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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