Charles Alexander Davisson
NPI 1992395818ActiveIndividual· Physical Therapist· Bridgeport, WV
Physical Therapist in Bridgeport, West Virginia, trained at West Virginia University School of Medicine (class of 2024). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1992395818 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 25, 2021 |
| Last updated in NPPES | Sep 5, 2024 |
| Certified by provider | Sep 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT004775 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WV) |
|---|
Education and affiliations
| Medical school | West Virginia University School of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Country Roads Physical Therapy and RehabilitationFairmont, WV · 29 clinicians
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