MOUNTAIN RIVER PHYSICAL THERAPY LLC (NPI# 1710135306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710135306 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN RIVER PHYSICAL THERAPY LLC |
| Practice Address |
5479 Pottsville Pike Suite 200 Leesport PA 19533-8650 |
| Mailing Address |
415 36th St Suite 100 Parkersburg WV 26101-1005 |
| Practice Telephone | 6109266778 |
| Practice Fax Number | 6109267200 |
| Mailing Telephone | 3049173660 |
| Mailing Fax Number | 3049173674 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | BURTON REED (OWNER/THERAPIST) |
| Authorized Official Telephone | 3048656778 |
| Authorized Official Credential | PT, OCS, FAAOMPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720538200 | Mountain River Physical Therapy LLC | Clinic/Center | 3407 Jackson Ave, Point Pleasant, WV 25550-1827 | 2016-10-10 |
| 1336483627 | Mountain River Physical Therapy LLC | Clinic/Center | 344b Church St S, Ripley, WV 25271-1512 | 2012-11-27 |
| 1710182274 | Mountain River Physical Therapy LLC | Clinic/Center | 174 N State Route 2, Suite 2, New Martinsville, WV 26155-1604 | 2007-06-15 |
| 1255347571 | Mountain River Physical Therapy LLC | Clinic/Center | 63 Hospitality Lane, Suite 1, Mineral Wells, WV 26150 | 2006-07-31 |
| 1164438487 | Mountain River Physical Therapy LLC | Clinic/Center | 117 W. Wagner Street, Ellenboro, WV 26346 | 2006-07-31 |
| 1447673165 | Mountain River Physical Therapy LLC | Clinic/Center | 252 W Main St, Suite E, Saint Clairsville, OH 43950-1061 | 2014-01-31 |
| 1093053225 | Mountain River Physical Therapy LLC | Clinic/Center | 1720 Se 16th Ave, Suite 302, Ocala, FL 34471-4620 | 2013-01-23 |
| 1407165830 | Mountain River Physical Therapy LLC | Clinic/Center | 47 Depot Street, Chatham, VA 24531-0000 | 2010-10-04 |
| 1669797395 | Mountain River Physical Therapy LLC | Clinic/Center | 2101 E State St, Suite C, Athens, OH 45701-2143 | 2010-04-06 |
| 1154555241 | Mountain River Physical Therapy LLC | Clinic/Center | 416 37th St, Parkersburg, WV 26101-1009 | 2009-05-05 |
| Street Address |
5479 POTTSVILLE PIKE SUITE 200 |
| City | LEESPORT |
| State | PA |
| Zip Code | 19533-8650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154361848 | Kristin Clingman Spencer | Emergency Medicine | 5479 Pottsville Pike, Leesport, PA 19533-8650 | 2006-06-08 |
| 1174076400 | Kenneth Christopher Paz | Physical Therapist | 5479 Pottsville Pike, Suite 200, Leesport, PA 19533-8650 | 2016-08-03 |
| 1932451143 | Mark Joseph Mehalko | Physical Therapist | 5479 Pottsville Pike, Suite 200, Leesport, PA 19533-8650 | 2012-10-11 |
| 1750614483 | Sandra M Cooper | Nurse Practitioner | 5479 Pottsville Pike, Leesport, PA 19533-8633 | 2009-09-14 |
| 1306019369 | Stephen Gregg Decker | Physical Therapist | 5479 Pottsville Pike, Suite 200, Leesport, PA 19533-8650 | 2008-04-10 |
| 1649284977 | Justin D Eisenhofer | Physical Therapist | 5479 Pottsville Pike, Suite 200, Leesport, PA 19533-8650 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1386825420 | Med Calls | Health Maintenance Organization | 5 South Center Ave., 204, Leesport, PA 19533 | 2007-11-16 |
| 1851416598 | Sarah K Snyder | Physical Therapy Assistant | 1011 Berks Rd, Leesport, PA 19533 | 2007-03-20 |
| 1114042801 | Jacqueline Rosello | Occupational Therapy Assistant | 1011 Berks Road, Leesport, PA 19533 | 2007-03-20 |
| 1952465460 | John Stephen Hottenstein | Dentist | First & Peach Sts, Leesports, PA 19533 | 2006-12-20 |
| 1336200153 | Darren T Koch | Chiropractor | Schoolside Plaza, Suite 102, Leesport, PA 19533 | 2006-12-13 |
| 1386741882 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 906 W Leesport Rd, Leesport, PA 19533 | 2006-09-20 |
| 1750346441 | Schuylkill Valley Family Practice PC | Family Medicine | 5 S Centre Avenue, Leesport, PA 19533 | 2006-04-18 |
| 1386646875 | Juliet Cook | Nurse Practitioner | 700 Admiral Nelson Dr., Malvern, PA 19533 | 2005-08-15 |
| 1952897738 | Penn State Health Community Medical Group, LLC | Family Medicine | 5 S Centre Ave, Leesport, PA 19533 | 2018-07-05 |
| Find all providers in zip 19533 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1811516339 | Alyssa Haveson | Clinic/Center | 23 Sentinel Rd, Washington Crossing, PA 18977-1142 | 2020-04-14 |
| 1104455377 | Dizzy Brain and Balance Specialists LLC | Clinic/Center | 484 Maple Point Dr, Langhorne, PA 19047-1473 | 2020-04-08 |
| 1891326427 | Joshua David Finley | Clinic/Center | 918 Truepenny Rd, Media, PA 19063-1634 | 2020-02-02 |
| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
| 1538799796 | Sirona Therapy P.C. | Clinic/Center | 220 W Plum St Ste 335, Edinboro, PA 16412-2167 | 2020-01-16 |
| 1326683095 | Drayer Physical Therapy Institute LLC | Clinic/Center | 702 Creekside Ln, Lititz, PA 17543-6826 | 2019-11-16 |
| 1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
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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.