PROFESSIONAL MEDICAL REHABILITATION INC. (NPI# 1346434867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346434867 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL MEDICAL REHABILITATION INC. |
| Practice Address |
460 Mylan Park Ln Morgantown WV 26501-2281 |
| Practice Telephone | 3049837766 |
| Practice Fax Number | 3049837768 |
| Mailing Telephone | 3049837766 |
| Mailing Fax Number | 3049837768 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | DR. J DAVID LYNCH JR. (CEO) |
| Authorized Official Telephone | 3049837766 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT002617 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | PTA001299 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | 1999 0357 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 208100000X | Physical Medicine & Rehabilitation | WV16960 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MT STATE BCBS | 001371360 | 01 |
| WV | CARELINK | 223202 | 01 |
| WV | HIGHMARK BLUESHIELD | 000578387 | 01 |
| WV | 3810007971 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588749329 | Professional Medical Rehabilitation Inc. | Rehabilitation Hospital | 4548 Deer Trail Blvd, Sarasota, FL 34238-5608 | 2006-10-26 |
| Street Address |
460 MYLAN PARK LN |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26501-2281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003996943 | Nicholas R Marchesani | Chiropractor | 460 Mylan Park Ln, Morgantown, WV 26501-2281 | 2006-10-16 |
| 1255826608 | Dwayne Shillingburg | Physical Therapy Assistant | 460 Mylan Park Ln, Morgantown, WV 26501-2281 | 2018-06-28 |
| 1518219682 | Ashley Brooke Morgan | Physical Therapist | 460 Mylan Park Ln, Morgantown, WV 26501-2281 | 2012-10-12 |
| 1083931000 | Jason C Shreve | Physical Therapist | 460 Mylan Park Ln, Morgantown, WV 26501-2281 | 2010-04-29 |
| 1780819201 | Joseph Daniel Pennington | Physical Therapist | 460 Mylan Park Ln, Morgantown, WV 26501-2281 | 2009-05-28 |
| 1366576043 | Bryan Edward Freeman | Physical Therapist | 460 Mylan Park Ln, Morgantown, WV 26501-2281 | 2007-03-15 |
| 1548307044 | Raymond Kazmierczak | Physical Therapist | 460 Mylan Park Ln, Morgantown, WV 26501-2281 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
| 1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
| 1194280446 | Braeden Chase Carroll | Specialist/Technologist | 636 Madison Ave, Morgantown, WV 26501 | 2019-01-31 |
| 1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
| 1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
| 1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
| 1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
| 1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
| 1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
| 1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
| Find all providers in zip 26501 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427133255 | Karen Patricia Barr | Physical Medicine & Rehabilitation | 943 Maple Dr Lowr Level, Morgantown, WV 26505-2812 | 2006-10-27 |
| 1336116276 | John David Lynch | Physical Medicine & Rehabilitation | 460 Mylan Park Lane, Morgantown, WV 26501-2243 | 2006-02-28 |
| 1013993047 | Deborah Thoren Mowery | Physical Medicine & Rehabilitation | 1160 Van Voorhis Rd, Morgantown, WV 26505-3437 | 2005-12-21 |
| 1043832389 | Deborah T Mowery Md Pllc | Physical Medicine & Rehabilitation | 1160 Van Voorhis Rd, Morgantown, WV 26505-3437 | 2020-05-09 |
| 1396267886 | Tri-state Physiatry LLC | Physical Medicine & Rehabilitation | 1160 Van Voorhis Rd, Morgantown, WV 26505-3437 | 2017-07-17 |
| 1134461213 | Stephanie Lauren Ferimer | Physical Medicine & Rehabilitation | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2013-03-26 |
| 1720305865 | Bethany Morris Honce | Physical Medicine & Rehabilitation | 1160 Van Voorhis Rd, Morgantown, WV 26505-3437 | 2010-04-29 |
| 1679669469 | Beverly Epstein | Physical Medicine & Rehabilitation | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-05 |
| 1174584353 | Russell Biundo Md Inc | Physical Medicine & Rehabilitation | 1160 Van Voorhis Rd, Morgantown, WV 26505-3437 | 2006-03-29 |
| 1184684508 | Russell Biundo | Physical Medicine & Rehabilitation | 1160 Van Voorhis Rd, Morgantown, WV 26505-3437 | 2006-03-28 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26501 |
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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.