Shanna Marie Ison, OTRL | |
699 S Park Rd, Charleston, WV 25304-2627 | |
(304) 925-1532 | |
(304) 926-8018 |
Full Name | Shanna Marie Ison |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 699 S Park Rd, Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003938911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1156 (West Virginia) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336858398 PECOS PAC ID: 2365359932 Enrollment ID: O20230426003181 |
Mailing Address | Practice Location Address |
---|---|
Shanna Marie Ison, OTRL 699 S Park Rd, Charleston, WV 25304-2627 Ph: (304) 925-1532 | Shanna Marie Ison, OTRL 699 S Park Rd, Charleston, WV 25304-2627 Ph: (304) 925-1532 |
Ms. Erin Elizabeth Burgess, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Peyton Way, Charleston, WV 25309 Phone: 304-693-2060 | |
Mrs. Amy Ellen Lawrence, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Lakeview Dr, Charleston, WV 25313 Phone: 304-342-9515 | |
Elizabeth Ververeli, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 313 Maccorkle Ave Sw Ste 100, Charleston, WV 25303 Phone: 304-746-3704 | |
Erica Dawn Barker, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Angel Ter, Charleston, WV 25314 Phone: 304-550-6670 | |
Mr. David Kyle Stickel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Chappell Rd, Charleston, WV 25304 Phone: 304-343-1950 | |
Casey Jo Townsend, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Tracy Way, Charleston, WV 25311 Phone: 304-720-0205 |