Mountain River Physical Therapy Llc
LBN: Mountain River Physical Therapy Llc
Mountain River Physical Therapy Llc is an health care organization with primary practice located at 800 Grand Central Mall Suite 1, Vienna WV 26105-4131. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty.
Mountain River Physical Therapy Llc can be contacted via phone (304) 865-6777, or through Reed, Burton Richard via phone (304) 865-6778.
Contact Information
Primary practice address
800 Grand Central Mall Suite 1
Vienna WV 26105-4131
Phone: (304) 865-6777
Fax: (304) 865-6780
Website:
Authorized official contact:
Name: Reed, Burton Richard Physical Therapist (PT)
Phone: (304) 865-6778
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1740494814 |
|---|---|
| LBN Legal business name | Mountain River Physical Therapy Llc |
| DBA Doing business as | |
| Authorized official | Reed, Burton Richard Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | May 27th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740494814 | NPPES |
| Other | DA4403 | MEDICARE ID TYPE UNSPEC | |
| MEDICAID | 2750858 | MEDICARE ID TYPE UNSPEC | |
| MEDICAID | 3810009018 | MEDICARE ID TYPE UNSPEC |
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