EXCEL PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC (NPI# 1437580834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437580834 |
Entity Type | Organization |
Organization Name | EXCEL PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC |
Practice Address |
3540 Teays Valley Rd Hurricane WV 25526-9054 |
Practice Telephone | 3048815042 |
Practice Fax Number | 3045627821 |
Mailing Telephone | 3048815042 |
Mailing Fax Number | 3045627821 |
Enumeration Date | 2013-12-10 |
Last Update Date | 2016-01-26 |
Authorized Official Name | MR. MARK EDWARD NICHOLS (PHYSICAL THERAPIST/OWNER) |
Authorized Official Telephone | 3048815042 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
02111 | WV | Ambulatory Health Care Facilities |
Street Address |
3540 TEAYS VALLEY RD |
City | HURRICANE |
State | WV |
Zip Code | 25526-9054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
Find all providers in zip 25526 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801432018 | Total Rehabilitation and Chiropractic | Clinic/Center | 3761 Teays Valley Rd, Hurricane, WV 25526-9705 | 2019-11-22 |
1295117232 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 4000 Out Look Dr, C/o Broadmore Al At Teays Valley, Hurricane, WV 25526-9467 | 2015-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134752744 | Bhsm Rehabilitation, LLC | Clinic/Center | 301 Summers St Ste G, Hinton, WV 25951-2336 | 2020-02-21 |
1568094845 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 2947 Jefferson St N Ste 1, Lewisburg, WV 24901-5719 | 2020-02-05 |
1336522929 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1000 S Maplewood Dr, C/o Emeritus At Maplewood, Bridgeport, WV 26330-9593 | 2015-07-01 |
1912168816 | Pure Performance Sportscare and Rehabilitation | Clinic/Center | 547 Willowdale Drive, Shepherdstown, WV 25443 | 2008-06-23 |
1508905613 | Debbie K Cooke | Clinic/Center | 1199 Pineview Dr, Morgantown, WV 26505-2700 | 2007-02-05 |
1619951977 | St of Wv Div of Rehabilitation Services | Clinic/Center | Barron Drive, Institute, WV 25112-1004 | 2005-11-30 |
1376175182 | Matrix Rehabilitation, Inc. | Clinic/Center | 18228 Seneca Trail, Marlinton, WV 24954 | 2020-02-10 |
1073145884 | Kessler Institute for Rehabilitation, Inc. | Clinic/Center | 4914 Potomac Highlands Trail, Green Bank, WV 24944 | 2020-02-10 |
1720610009 | Dignity Select Nevada, LLC | Clinic/Center | 155 Reston Pl, Gassaway, WV 26624-9356 | 2020-02-05 |
1689206963 | Physiotherapy Assoicates, Inc. | Clinic/Center | 390 John Raine Dr, Rainelle, WV 25962-1462 | 2020-02-05 |
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.