STEPHEN DURHAM DPT
NPI 1992598395
Physical Therapist in Charleston, WV

Active since May 28, 2025Accepts Medicare Assignment
313 MACCORKLE AVE SW STE 100, CHARLESTON, WV 25303(304) 746-3704 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen Durham Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN DURHAM DPT (NPI 1992598395) is an individual physical therapist in Charleston, West Virginia, licensed in West Virginia (PT004867) and active in the NPI registry since May 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1992598395
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSTEPHEN DURHAMCredential: DPT
Location Address313 MACCORKLE AVE SW STE 100Charleston, WV 25303-1207
Mailing Address1500 Grand Central Ave Ste 101Vienna, WV 26105-1079
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
NPI 1992598395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WV · PT004867
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

313 MACCORKLE AVE SW STE 100, Charleston, WV 25303

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephen Durham Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214449883
PECOS Enrollment IDI20250620001704

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
313 MACCORKLE AVE SW STE 100
CHARLESTON, WV 25303
Physical Therapist
313 MACCORKLE AVE SW STE 100
CHARLESTON, WV 25303
Occupational Therapist
313 MACCORKLE AVE SW STE 100
CHARLESTON, WV 25303
Physical Therapist
313 MACCORKLE AVE SW STE 100
CHARLESTON, WV 25303
Physical Therapist
313 MACCORKLE AVE SW STE 100
CHARLESTON, WV 25303
Physical Therapist
313 MACCORKLE AVE SW STE 100
CHARLESTON, WV 25303
Physical Therapist
313 MACCORKLE AVE SW STE 100
SOUTH CHARLESTON, WV 25303
Physical Therapist
313 MACCORKLE AVE SW STE 100
CHARLESTON, WV 25303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Durham's NPI number?

The NPI number for Stephen Durham is 1992598395. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Stephen Durham located?

Stephen Durham practices at 313 Maccorkle Ave SW Ste 100, Charleston, WV 25303. The listed phone number is (304) 746-3704.

What is Stephen Durham's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Stephen Durham enrolled in Medicare?

Yes. Stephen Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Durham accept?

Health plans from CareSource and Molina Healthcare list Stephen Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Durham was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.