Christopher James Moore (NPI# 1598701997, PAC ID# 7113192857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1598701997 |
| PAC ID by PECOS | 7113192857 |
| Professional Enrollment ID | I20111208000470 |
| Full Name | Christopher James Moore |
| Organization Legal Name | MOUNTAIN STATE PHYSICAL THERAPY LLC |
| Address |
719 Fairmont Ave Suite 102 Fairmont WV 26554-5118 |
| Phone Number | 3043638543 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1658269642 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 | 3043638543 | MOUNTAIN STATE PHYSICAL THERAPY LLC |
| 802 E Main St, Mannington, WV 26582-1215 | 3049869007 | MOUNTAIN STATE PHYSICAL THERAPY LLC |
| Organization Legal Name | MOUNTAIN STATE PHYSICAL THERAPY LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Hacker | Physical Therapy | Mountain State Physical Therapy LLC | 33 Walnut St, Shinnston, WV 26431-1154 |
| Gabriel D Wilson | Physical Therapy | Mountain State Physical Therapy LLC | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 |
| Andrew J Barrish | Physical Therapy | Mountain State Physical Therapy LLC | 18 Garton Plz, Weston, WV 26452-2129 |
| Adam West | Physical Therapy | Mountain State Physical Therapy LLC | 461 Emily Dr, Clarksburg, WV 26301-5512 |
| Haley M Getz | Physical Therapy | Mountain State Physical Therapy LLC | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 |
| Benjamin Ray | Physical Therapy | Mountain State Physical Therapy LLC | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 |
| Richard A. Gandee Ii | Physical Therapy | Mountain State Physical Therapy LLC | 18 Garton Plz, Weston, WV 26452-2129 |
| Winston R Witherell | Physical Therapy | Mountain State Physical Therapy LLC | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 |
| Kristen R Maraney | Physical Therapy | Mountain State Physical Therapy LLC | 461 Emily Dr, Clarksburg, WV 26301-5512 |
| Street Address |
719 FAIRMONT AVE SUITE 102 |
| City | FAIRMONT |
| State | WV |
| Zip | 26554-5118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriel D Wilson | Physical Therapy | Mountain State Physical Therapy LLC | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 |
| Haley M Getz | Physical Therapy | Mountain State Physical Therapy LLC | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 |
| Benjamin Ray | Physical Therapy | Mountain State Physical Therapy LLC | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 |
| Winston R Witherell | Physical Therapy | Mountain State Physical Therapy LLC | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 |
| Kelley Kluender | Physical Therapy | Dino Rovito Etal Ptr | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Lee Ang | Internal Medicine | 5 Erwin Lane, Suite B, Fairmont, WV 26554 | |
| Rebecca Yeager Wilson | Nurse Practitioner | Monongalia County General Hospital Company | 1840 Locust Ave, Fairmont, WV 26554-0060 |
| Lisa M Flower | Family Medicine | Monongalia County General Hospital Company | 1840 Locust Ave, Fairmont, WV 26554-0060 |
| Bronya Kay Tucker | Nurse Practitioner | Monongalia County General Hospital Company | 1840 Locust Ave, Fairmont, WV 26554-0060 |
| David Alan Bannister | Chiropractic | 220 Virginia Ave, Fairmont, WV 26554-0175 | |
| Krista M. Flesher | Nurse Practitioner | Monongahela Valley Association of Health Centers, Inc. | 550 Camden Ave, Monongah, WV 26554-1105 |
| Himanshu Harihar Paliwal | Family Practice | Monongahela Valley Association of Health Centers, Inc. | 628 Walnut St, Monongah, WV 26554-1136 |
| Beth R Santmyire-rosenberger | Dermatology | Appalachian Spring Dermatology Pllc | 1812 Country Club Rd, Fairmont, WV 26554-1216 |
| Aaron Lee Santmyire | Nurse Practitioner | Appalachian Spring Dermatology Pllc | 1812 Country Club Rd, Fairmont, WV 26554-1216 |
| Govind M Patel | Internal Medicine | 1844 Locust Ave, Fairmont, WV 26554-1237 | |
| Find all physicians in zip 26554 | |||
| City | FAIRMONT |
| Zip Code | 26554 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FAIRMONT + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.