MOUNTAIN RIVER PHYSICAL THERAPY, LLC (NPI# 1649889924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649889924 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN RIVER PHYSICAL THERAPY, LLC |
| Practice Address |
174 Industrial Park Rd Jane Lew WV 26378-9785 |
| Mailing Address |
415 36th St Ste 100 Parkersburg WV 26101-1005 |
| Practice Telephone | 3049173660 |
| Practice Fax Number | 3049173674 |
| Mailing Telephone | 3049173660 |
| Mailing Fax Number | 3049173674 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | KRISTA ROGERS (CFO AND VP OF FINANCE/OPERATIONS) |
| Authorized Official Telephone | 3048656778 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1326691312 | Mountain River Physical Therapy, LLC | Clinic/Center | 2012 Garfield Ave Ste 4b, Parkersburg, WV 26101-2539 | 2019-07-19 |
| 1437643061 | Mountain River Physical Therapy, LLC | Clinic/Center | 315 S Virginia Ave, Bridgeport, WV 26330-1744 | 2018-06-18 |
| 1568904142 | Mountain River Physical Therapy, LLC | Clinic/Center | 55 Lounez Ave, Suite 1, Wheeling, WV 26003-7420 | 2016-11-14 |
| 1659762698 | Mountain River Physical Therapy, LLC | Clinic/Center | 2010 Garfield Ave., Suite 2, Parkersburg, WV 26101-0000 | 2015-02-12 |
| 1992314280 | Mountain River Physical Therapy, LLC | Clinic/Center | 1900 Locust Ave Ste A, Fairmont, WV 26554-1293 | 2020-07-23 |
| 1689100828 | Mountain River Physical Therapy, LLC | Clinic/Center | 2804 Birch St, Parkersburg, WV 26101-1910 | 2017-05-09 |
| Street Address |
174 INDUSTRIAL PARK RD |
| City | JANE LEW |
| State | WV |
| Zip Code | 26378-9785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821314840 | Casey D Jackson | Physical Therapist | 174 Industrial Park Rd, Jane Lew, WV 26378-9785 | 2010-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912842 | Carolyn Skinner | Technician | 71 Dean St, Jane Lew, WV 26378 | 2020-08-13 |
| 1548385545 | Vallerie Ann Snow Iv | Specialist | 6298 Main Street, Jane Lew, WV 26378 | 2007-03-20 |
| 1922144492 | Timothy J Mccoy | Counselor | 39 Depot St, Suite One, Jane Lew, WV 26378 | 2007-01-30 |
| 1538214911 | Beverley M Hines Brown | Counselor | 39 Depot St Suite One, Jane Lew, WV 26378 | 2007-01-24 |
| 1407109416 | Prn Solutions, Inc. | Nursing Care | 6298 Main Street, Jane Lew, WV 26378 | 2012-10-16 |
| 1609096452 | Family Medical Clinic of Jane Lew (lab) | Clinical Medical Laboratory | 134 Industrial Park Rd, Jane Lew, WV 26378 | 2007-04-26 |
| 1144308040 | Family Medical Clinic of Jane Lew (epsdt) | Family Medicine | 134 Industrial Park Rd, Jane Lew, WV 26378 | 2006-11-01 |
| 1346326295 | Family Medical Clinic of Jane Lew ( Lab) | Family Medicine | 134 Industrial Park Rd, Jane Lew, WV 26378 | 2006-10-31 |
| 1407802218 | Frank D Swisher | Family Medicine | 134 Industrial Park Rd, Jane Lew, WV 26378-0880 | 2006-05-25 |
| 1255387064 | Family Medical Clinic of Jane Lew | Family Medicine | 134 Industrial Park Road, Jane Lew, WV 26378-0880 | 2006-05-25 |
| Find all providers in zip 26378 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 | ||||
Please comment or provide details below to improve the information on MOUNTAIN RIVER PHYSICAL THERAPY, LLC.
| 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.