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

Thomas C Booth II

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1942828603

Thomas C Booth II is a Physical Medicine & Rehabilitation Physician in Ronceverte, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2020

Practice location Address checks out

3942 Davis Stuart Rd Ste 3
Ronceverte, WV 24970-0269
Phone: (304) 647-3987
Fax: (304) 647-3990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PT004290 (WV)

Record details

NPI number1942828603
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 9, 2020
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970-0269

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