Mountain State Physical Therapy
LBN: Mountain State Physical Therapy Llc
Mountain State Physical Therapy is an health care organization with primary practice located at 200 Fairmont Ave Ste 104 , Fairmont WV 26554-0171. 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 State Physical Therapy Llc can be contacted via phone (304) 363-8543, or through Barrish, Andrew J. via phone (304) 363-8543.
Contact Information
Primary practice address
200 Fairmont Ave Ste 104
Fairmont WV 26554-0171
Phone: (304) 363-8543
Fax: (304) 363-0173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | West Virginia |
Profile Details
| NPI number | 1083668875 |
|---|---|
| LBN Legal business name | Mountain State Physical Therapy Llc |
| DBA Doing business as | Mountain State Physical Therapy |
| Authorized official | Barrish, Andrew J. Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Aug 8th, 2023 - about last year |
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 | 1083668875 | NPPES |
| West Virginia | MEDICAID | 0202606000 | |
| West Virginia | Other | DB3679 |
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