Provider Demographics
NPI:1528072659
Name:JONES, CHRISTOPHER S (MPT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:S
Last Name:JONES
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 FAIRMONT RD
Mailing Address - Street 2:
Mailing Address - City:WESTOVER
Mailing Address - State:WV
Mailing Address - Zip Code:26501-4060
Mailing Address - Country:US
Mailing Address - Phone:304-225-5222
Mailing Address - Fax:304-225-5224
Practice Address - Street 1:746 FAIRMONT RD
Practice Address - Street 2:
Practice Address - City:WESTOVER
Practice Address - State:WV
Practice Address - Zip Code:26501-4060
Practice Address - Country:US
Practice Address - Phone:304-225-5222
Practice Address - Fax:304-225-5224
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001899219OtherBLUE CROSS BLUE SHIELD
WV3810008257Medicaid
WV4191901Medicare PIN