GREENBRIER VALLEY PHYSICAL THERAPY & FITNESS LLC (NPI# 1124118658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124118658 |
| Entity Type | Organization |
| Organization Name | GREENBRIER VALLEY PHYSICAL THERAPY & FITNESS LLC |
| Other Organization Name | SENECA TRAIL PHYSICAL THERAPY |
| Practice Address |
18228 Seneca Trail Marlinton WV 24954 |
| Mailing Address |
111 Davis Stuart Road Ronceverte WV 24970 |
| Practice Telephone | 3047994500 |
| Practice Fax Number | 3047994501 |
| Mailing Telephone | 3046473987 |
| Mailing Fax Number | 3046473990 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | MR. KEVIN A WORKMAN (OWNER/MANAGING MEMBER) |
| Authorized Official Telephone | 3046473987 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | Y |
| Parent Organization Name | GREENBRIER VALLEY PHYSICAL THERAPY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810004589 | 05 | |
| WV | WV WORKERS COMP | ========= | 01 |
| Other Name | Type Code |
|---|---|
| SENECA TRAIL PHYSICAL THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407946932 | Greenbrier Valley Physical Therapy & Fitness LLC | Specialist | 3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970-0269 | 2006-10-13 |
| Street Address |
18228 SENECA TRAIL |
| City | MARLINTON |
| State | WV |
| Zip Code | 24954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175182 | Matrix Rehabilitation, Inc. | Clinic/Center | 18228 Seneca Trail, Marlinton, WV 24954 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164919 | Tina Turner | Technician | 1236 Waldo Lane, Marlinton, WV 24954 | 2020-11-03 |
| 1174917827 | Lynette Otto | Counselor | 1536 Sunset Road, Marlinton, WV 24954 | 2015-03-20 |
| 1912325663 | Barbara A Snyder | Physical Therapy Assistant | Stillwell Rd, Rte 1, Marlington, WV 24954 | 2014-03-31 |
| 1962701870 | Lisa D Hedrick | Pharmacist | 1000 Seneca Trail North, Marlinton, WV 24954 | 2011-03-17 |
| 1376728121 | Leslie Jones Goodall | Occupational Therapist | 926 Fifth Avenue, Pocahontas County Schools, Marlinton, WV 24954 | 2007-12-28 |
| 1568663953 | Monica A Bing | Registered Nurse | 704 A Third Avenue, Seneca Health Services Inc, Marlinton, WV 24954 | 2007-05-31 |
| 1790845428 | Zed S Weatherholt | Social Worker | 704 A Third Ave, Seneca Health Services Inc, Marlinton, WV 24954 | 2006-12-11 |
| 1902998982 | Sheila V Rose | Psychologist | 221 Eighth St, Marlinton, WV 24954 | 2006-09-28 |
| 1699884932 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 19258 Seneca Trail, Marlinton, WV 24954 | 2006-08-30 |
| 1619967874 | James S. Burks | Pharmacist | 105 Duncan Road, Marlinton, WV 24954 | 2005-10-27 |
| Find all providers in zip 24954 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171013 | Nicole Maynor | Specialist | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-07-21 |
| 1992262257 | Marnie Rustemeyer | Specialist | 1306 Kanawha Blvd E Ste 1001306, Charleston, WV 25301-3000 | 2019-02-22 |
| 1528599800 | Angela Dawn Harold | Specialist | 2241 Ritter Dr, Daniels, WV 25832-2241 | 2017-03-27 |
| 1770023244 | Katelynn Decker | Specialist | 428 W Martin St, Martinsburg, WV 25401-2747 | 2017-03-03 |
| 1699227751 | Sara Elizabeth Hill | Specialist | Sr 3 and 12, Talcott, WV 24981 | 2016-10-25 |
| 1558818294 | Keri Browning | Specialist | 294 Shawnee Cir, Monaville, WV 25601-9631 | 2016-09-09 |
| 1356715429 | Body Kneads LLC | Specialist | 19 Main Ave, Logan, WV 25601-3332 | 2015-11-30 |
| 1982071866 | Archer Massage and Wellness | Specialist | 6 Harman Ctr, Grafton, WV 26354-1559 | 2015-08-27 |
| 1003299652 | Wmc Physician Practices LLC | Specialist | 651 Colliers Way Ste 300, Weirton, WV 26062-5058 | 2015-07-01 |
| 1710360367 | Wmc Physician Practices LLC | Specialist | 651 Colliers Way Ste 309, Weirton, WV 26062-5055 | 2015-07-01 |
| 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.