MOUNTAIN RIVER PHYSICAL THERAPY LLC (NPI# 1760659478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760659478 |
Entity Type | Organization |
Organization Name | MOUNTAIN RIVER PHYSICAL THERAPY LLC |
Practice Address |
620 National Rd Suite 100 Wheeling WV 26003-6543 |
Mailing Address |
415 36th St Suite 100 Parkersburg WV 26101-1005 |
Practice Telephone | 3048656778 |
Mailing Telephone | 3049173660 |
Mailing Fax Number | 3049173674 |
Enumeration Date | 2008-05-12 |
Last Update Date | 2016-05-27 |
Authorized Official Name | BURTON R REED (OWNER/PHYSICAL THERAPIST) |
Authorized Official Telephone | 3048656778 |
Authorized Official Credential | P.T. |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2851267 | 05 | |
WV | 3810012336 | 05 | |
MEDICARE ID TYPE UNSPECIFIED | DA4403 | 01 |
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 |
620 NATIONAL RD SUITE 100 |
City | WHEELING |
State | WV |
Zip Code | 26003-6543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073529152 | Adrian James Moses | Physical Therapist | 620 National Rd, Suite 100, Wheeling, WV 26003-6560 | 2006-07-31 |
1568913895 | Megan Simpson | Nurse Practitioner | 620 National Rd, Wheeling, WV 26003 | 2016-10-21 |
1982098554 | Cheryl Lynn Doyle | Nurse Practitioner | 620 National Rd, Wheeling, WV 26003-6560 | 2015-03-22 |
1487075503 | April Renee Contraguerro | Physical Therapist | 620 National Rd, Suite 100, Wheeling, WV 26003-6560 | 2013-12-16 |
1114297413 | Thomas Lee Dobbs Jr. | Physical Therapist | 620 National Rd, Suite 100, Wheeling, WV 26003-6560 | 2012-01-04 |
1629379607 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 620 National Rd, Suite 300, Wheeling, WV 26003-6560 | 2010-11-08 |
1437323722 | Medexpress Urgent Care, Pllc - Wheeling | Emergency Medicine | 620 National Rd, Suite 300, Wheeling, WV 26003-6560 | 2008-04-17 |
1033306311 | Rebecca Lynne Petrosino | Physical Therapist | 620 National Rd, Suite 100, Wheeling, WV 26003-6560 | 2007-10-01 |
1033281837 | J C Enterprises Inc | Pharmacy | 620 National Rd, Wheeling, WV 26003-6543 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
Find all providers in zip 26003 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568904142 | Mountain River Physical Therapy, LLC | Clinic/Center | 55 Lounez Ave, Suite 1, Wheeling, WV 26003-7420 | 2016-11-14 |
1629087424 | Occupational Health Centers of Illinois PC | Clinic/Center | 544 A. Dundee Road, Wheeling, IL 60090 | 2006-08-08 |
1609416346 | Good Shepherd Nursing Home Lc | Clinic/Center | 159 Edgington Ln, Wheeling, WV 26003-1542 | 2020-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811594757 | Mountain River Physical Therapy, LLC | Clinic/Center | 108 Osprey Drive, Suite B, Williamstown, WV 26187 | 2020-10-05 |
1376140210 | Mountain River Physical Therapy, LLC | Clinic/Center | 415 36th St Ste 100, Parkersburg, WV 26101-1005 | 2020-10-05 |
1497362867 | Pelvic Health Physical Therapy of Morgantown, LLC | Clinic/Center | 6000 Coombs Farm Rd Ste 106, Morgantown, WV 26508-1155 | 2020-09-29 |
1972136786 | Pocahontas Memorial Hospital | Clinic/Center | 16023 Cass Rd, Cass, WV 24927-9136 | 2020-02-20 |
1124667613 | Move Right Performance Therapy | Clinic/Center | 330 Scott Ave, Morgantown, WV 26508-0023 | 2019-12-31 |
1932744240 | Mountain River Physical Therapy, LLC | Clinic/Center | 483 Court St Ste 1, Elizabeth, WV 26143-1109 | 2019-11-11 |
1114562428 | Mountain River Physical Therapy, LLC | Clinic/Center | 606 Washington St Ste 1, Ravenswood, WV 26164-1730 | 2019-11-11 |
1508408881 | Jimmie Tyler Beirne | Clinic/Center | 4011 Feely Ln, Ona, WV 25545-9762 | 2019-10-08 |
1548801798 | Lenzie Weicht | Clinic/Center | 5724 Hammonds Mill Rd Ste G, Martinsburg, WV 25404-6491 | 2019-09-30 |
1477107183 | First Settlement Physical Therapy | Clinic/Center | 2909c 7th St, Parkersburg, WV 26101-3808 | 2019-07-31 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MOUNTAIN RIVER PHYSICAL THERAPY LLC.
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.