Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamie L. Tridico

Individual provider Physical Therapist · NPI 1780882928

Jamie L. Tridico is a Physical Therapist in Private Practice in Charleston, West Virginia. Qualified in 1993, 33 years ago. Practices with Advanced Physical Therapy, PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
33
Licensed in
WV
In the registry since
2007
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Practice location Address checks out

4301 Maccorkle Ave SE
Charleston, WV 25304-2503
Phone: (304) 720-9185
Fax: (304) 720-9186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1220 (WV)

Record details

NPI number1780882928
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESFebruary 20, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Advanced Physical Therapy, Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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