RIVERSIDE PHYSICAL THERAPY, LLC (NPI# 1174894026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174894026 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICAL THERAPY, LLC |
| Practice Address |
105 Seasons Ln Mineral Wells WV 26150-8110 |
| Practice Telephone | 3046157576 |
| Practice Fax Number | 3044224094 |
| Mailing Telephone | 3046157576 |
| Mailing Fax Number | 3044224094 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-02-09 |
| Authorized Official Name | MR. JOSHUA BRADFORD GANDEE (OWNER/MANAGER/THERAPIST) |
| Authorized Official Telephone | 3046157576 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2160 | WV | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174868145 | Riverside Physical Therapy, LLC | Clinic/Center | 47581 815th Rd, Ord, NE 68862-5362 | 2012-12-03 |
| Street Address |
105 SEASONS LN |
| City | MINERAL WELLS |
| State | WV |
| Zip Code | 26150-8110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821194473 | Joshua B Gandee | Physical Therapist | 105 Seasons Ln, Mineral Wells, WV 26150-8110 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275192601 | First Settlement Physical Therapy | Clinic/Center | 1405 Elizabeth Pike, 103, Mineral Wells, WV 26150 | 2019-06-10 |
| 1063753077 | Toby D. Daggett | Occupational Therapist | 435 Society Hill Rd, Mineral Wells, WV 26150 | 2013-03-15 |
| 1255347571 | Mountain River Physical Therapy LLC | Clinic/Center | 63 Hospitality Lane, Suite 1, Mineral Wells, WV 26150 | 2006-07-31 |
| 1003884842 | Karen Lee Fahey | Nurse Practitioner | 272 Frontage Road, Mineral Wells, WV 26150 | 2006-03-09 |
| 1942411053 | Jeffrey Ray Haffner | Pharmacist | 1506 Elizabeth Pike, Mineral Wells, WV 26150 | 2007-05-24 |
| 1427268184 | John Irvin Mourat | Pharmacist | 1506 Elizabeth Pike, Mineral Wells, WV 26150 | 2007-05-23 |
| 1902959356 | Amy Carter | Physical Therapy Assistant | 63 Hospitality Lane, Suite 1, Mineral Wells, WV 26150 | 2007-01-19 |
| 1912050386 | Melody Vaught | Physical Therapy Assistant | 63 Hospitality Lane, Suite 1, Mineral Wells, WV 26150 | 2007-01-19 |
| 1841617644 | Mid-ohio Valley Chiropractic and Wellness | Clinic/Center | 7930 Pike St., Mineral Wells, WV 26150-0040 | 2014-03-19 |
| 1134590532 | Finbar G Powderly | Clinic/Center | 1578 Elizabeth Pike, Mineral Wells, WV 26150-0489 | 2015-10-12 |
| Find all providers in zip 26150 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275192601 | First Settlement Physical Therapy | Clinic/Center | 1405 Elizabeth Pike, 103, Mineral Wells, WV 26150 | 2019-06-10 |
| 1255347571 | Mountain River Physical Therapy LLC | Clinic/Center | 63 Hospitality Lane, Suite 1, Mineral Wells, WV 26150 | 2006-07-31 |
| 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 | ||||
| City | MINERAL WELLS |
| Zip Code | 26150 |
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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.