MOUNTAIN RIDGE PHYSICAL THERAPY LLC (NPI# 1457899809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457899809 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN RIDGE PHYSICAL THERAPY LLC |
| Practice Address |
6000 Coombs Farm Drive Suite 202b Morgantown WV 26508 |
| Practice Telephone | 3046856064 |
| Mailing Telephone | 3046856064 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | DR. DEREK D CLARK (OWNER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3046856064 |
| Authorized Official Credential | DPT, PT, MS, CSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2714 | WV | Ambulatory Health Care Facilities |
| Street Address |
6000 COOMBS FARM DRIVE SUITE 202B |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154588598 | Timothy Patrick Dorey Jr. | Chiropractor | 6000 Coombs Farm Drive, Building F, Unit #102, Morgantown, WV 26508 | 2008-05-22 |
| 1649665605 | Spineworks Physical Medicine & Wellness, Pllc | Chiropractor | 6000 Coombs Farm Drive, Building F, Unit 102, Morgantown, WV 26508 | 2015-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362867 | Pelvic Health Physical Therapy of Morgantown, LLC | Clinic/Center | 6000 Coombs Farm Rd Ste 106, Morgantown, WV 26508-1155 | 2020-09-29 |
| 1124667613 | Move Right Performance Therapy | Clinic/Center | 330 Scott Ave, Morgantown, WV 26508-0023 | 2019-12-31 |
| 1306150891 | Effleurage Massage Plcc | Clinic/Center | 709 Beechurst Ave, Suite 12, Morgantown, WV 26505-4689 | 2010-07-27 |
| 1801078142 | Chiropractic Care Center of Morgantown, Inc. | Clinic/Center | 705 Greenbag Road, Morgantown, WV 26508 | 2007-11-28 |
| 1205388295 | Morgantown Snf Acquisition LLC | Clinic/Center | 30 Vandervort Dr, Morgantown, WV 26505-2840 | 2016-10-26 |
| 1801243084 | The Chiropractic Care Center of Morgantown | Clinic/Center | 705 Greenbag Rd, Morgantown, WV 26508-1589 | 2016-05-18 |
| 1043676711 | Calvert Rehabilitation Group, Inc. | Clinic/Center | 2195 Cheat Rd, Morgantown, WV 26508-0022 | 2016-01-11 |
| 1871706259 | Monongalia Physical Therapy Services, Ltd. | Clinic/Center | 1199 Pineview Dr, Morgantown, WV 26505-2700 | 2007-05-08 |
| 1831234947 | Wvu Hospital | Clinic/Center | 1 Medical Center Dr, Morgantown, WV 26507-1127 | 2007-02-20 |
| 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 |
| 1972136786 | Pocahontas Memorial Hospital | Clinic/Center | 16023 Cass Rd, Cass, WV 24927-9136 | 2020-02-20 |
| 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 |
| 1326691312 | Mountain River Physical Therapy, LLC | Clinic/Center | 2012 Garfield Ave Ste 4b, Parkersburg, WV 26101-2539 | 2019-07-19 |
| 1275192601 | First Settlement Physical Therapy | Clinic/Center | 1405 Elizabeth Pike, 103, Mineral Wells, WV 26150 | 2019-06-10 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
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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.