| X-cel Performance Rehab Llc | |
|
4767 Frankfort Highway, Ridgeley, WV 26753-7772 | |
| (301) 876-5892 | |
| Not Available |
| Full Name | X-cel Performance Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 4767 Frankfort Highway, Ridgeley, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891168381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 06809 (Maryland) | Primary |
| Provider Name | Karen K Shambaugh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295002111 PECOS PAC ID: 9931361417 Enrollment ID: I20160404000820 |
| Provider Name | Neil Blake |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316124100 PECOS PAC ID: 1850451238 Enrollment ID: I20161228001035 |
| Provider Name | Ryan Patrick Dante |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740661107 PECOS PAC ID: 5395050694 Enrollment ID: I20190916001678 |
| Provider Name | Kaitlin N Lamp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922656073 PECOS PAC ID: 5395177307 Enrollment ID: I20191113001151 |
| Provider Name | Sherry Lynn Stakem |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225673437 PECOS PAC ID: 5698174027 Enrollment ID: I20210604000620 |
| Provider Name | Alexandra Phillips |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891076220 PECOS PAC ID: 4688960941 Enrollment ID: I20210813003175 |
| Provider Name | Tess Mikayla Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124741913 PECOS PAC ID: 2365812096 Enrollment ID: I20221221001483 |
| Mailing Address | Practice Location Address |
|---|---|
| X-cel Performance Rehab Llc 4767 Frankfort Highway, Ridgeley, WV 26753-7772 Ph: () - | X-cel Performance Rehab Llc 4767 Frankfort Highway, Ridgeley, WV 26753-7772 Ph: (301) 876-5892 |
Shay Lynn Rae Tasker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4767 Frankfort Hwy, Ridgeley, WV 26753 Phone: 304-738-4045 |