ST OF WV DIV OF REHABILITATION SERVICES (NPI# 1619951977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619951977 |
Entity Type | Organization |
Organization Name | ST OF WV DIV OF REHABILITATION SERVICES |
Practice Address |
Barron Drive Institute WV 25112-1004 |
Mailing Address |
Po Box 1004 Institute WV 25112-1004 |
Practice Telephone | 3047664848 |
Practice Fax Number | 3047664937 |
Mailing Telephone | 3047664848 |
Mailing Fax Number | 3047664937 |
Enumeration Date | 2005-11-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. LAINE WILDER (ASSISTANT DIRECTOR, CENTER ADMINIST) |
Authorized Official Telephone | 3047664767 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
NA GOV'T OWNED | WV | Ambulatory Health Care Facilities |
Street Address |
BARRON DRIVE |
City | INSTITUTE |
State | WV |
Zip Code | 25112-1004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811057474 | Pamela R Jense | Psychologist | Barron Drive, Wvdrs, Institute, WV 25112 | 2006-12-12 |
1740217983 | Megan Marie Perry | Occupational Therapist | Barron Drive, Institute, WV 25112-1004 | 2006-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235543026 | Rick Ray | Specialist/Technologist | 5000 Fairlawn Ave., Institute, WV 25112-1000 | 2014-06-19 |
1437137510 | Kenneth Dion Stowers | Occupational Therapist | Barron Dr, Institute, WV 25112-1004 | 2006-01-09 |
1942289988 | James Kesley Egnor II | Family Medicine | Barron Dr, Institute, WV 25112-1004 | 2006-01-10 |
1962480053 | Curry Steven Thompson | Physical Therapist | Barron Dr, Institute, WV 25112-1004 | 2006-01-09 |
1831177930 | Ivan R Salazar | Physical Therapist | Barron Dr, Institute, WV 25112-1004 | 2006-01-09 |
1225016330 | Shirley J Starkey | Speech-Language Pathologist | Barron Dr, Institute, WV 25112-1004 | 2006-01-09 |
1114905197 | Saundra Kaye Boyd | Pharmacist | Barron Dr, Institute, WV 25112-1004 | 2006-01-09 |
1760460802 | Mary Holland Hoback Clark | Psychiatry & Neurology | Barron Dr, Institute, WV 25112-1004 | 2006-01-09 |
1609854652 | Donald R Swick | Psychologist | Barron Dr, Institute, WV 25112-1004 | 2006-01-09 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134752744 | Bhsm Rehabilitation, LLC | Clinic/Center | 301 Summers St Ste G, Hinton, WV 25951-2336 | 2020-02-21 |
1568094845 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 2947 Jefferson St N Ste 1, Lewisburg, WV 24901-5719 | 2020-02-05 |
1336522929 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1000 S Maplewood Dr, C/o Emeritus At Maplewood, Bridgeport, WV 26330-9593 | 2015-07-01 |
1437580834 | Excel Physical Therapy and Sports Performance, LLC | Clinic/Center | 3540 Teays Valley Rd, Hurricane, WV 25526-9054 | 2013-12-10 |
1912168816 | Pure Performance Sportscare and Rehabilitation | Clinic/Center | 547 Willowdale Drive, Shepherdstown, WV 25443 | 2008-06-23 |
1508905613 | Debbie K Cooke | Clinic/Center | 1199 Pineview Dr, Morgantown, WV 26505-2700 | 2007-02-05 |
1376175182 | Matrix Rehabilitation, Inc. | Clinic/Center | 18228 Seneca Trail, Marlinton, WV 24954 | 2020-02-10 |
1073145884 | Kessler Institute for Rehabilitation, Inc. | Clinic/Center | 4914 Potomac Highlands Trail, Green Bank, WV 24944 | 2020-02-10 |
1720610009 | Dignity Select Nevada, LLC | Clinic/Center | 155 Reston Pl, Gassaway, WV 26624-9356 | 2020-02-05 |
1689206963 | Physiotherapy Assoicates, Inc. | Clinic/Center | 390 John Raine Dr, Rainelle, WV 25962-1462 | 2020-02-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.