| Breanna Nicole Lloyd, | |
|
2025 White Oaks Blvd, Bridgeport, WV 26330-5402 | |
| (681) 842-4082 | |
| Not Available |
| Full Name | Breanna Nicole Lloyd |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2025 White Oaks Blvd, Bridgeport, 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 |
|---|---|---|---|
| 1124514310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 03936 (West Virginia) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| 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 |
|---|---|
| Breanna Nicole Lloyd, 893 Buckhannon Rd, Philippi, WV 26416-7051 Ph: () - | Breanna Nicole Lloyd, 2025 White Oaks Blvd, Bridgeport, WV 26330-5402 Ph: (681) 842-4082 |
Mrs. Lawren Elizabeth Sandy, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 306 W Main St, Bridgeport, WV 26330 Phone: 304-842-3137 Fax: 304-842-3138 | |
Stephanie Sellas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 State St, Bridgeport, WV 26330 Phone: 304-933-3073 Fax: 304-933-3187 | |
Gregory Lee Roberson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 415 Benedum Dr, Bridgeport, WV 26330 Phone: 304-842-9887 Fax: 304-842-9888 | |
Christopher Ude, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1126 Worthington Dr, Bridgeport, WV 26330 Phone: 304-612-0119 | |
Jason Fertig, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 37 Grande Meadows Dr Ste 102, Bridgeport, WV 26330 Phone: 304-592-2009 Fax: 304-599-7800 | |
Ms. Ruth Tunick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 W Main St, Bridgeport, WV 26330 Phone: 304-842-9887 |