Christopher J Moore, PT | |
802 E Main St, Mannington, WV 26582-1215 | |
(304) 986-9007 | |
(304) 986-9080 |
Full Name | Christopher J Moore |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 802 E Main St, Mannington, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598701997 | NPI | - | NPPES |
7303076000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 002242 (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain State Physical Therapy Llc | 1658269642 | 7 |
Provider Name | Mountain State Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083668875 PECOS PAC ID: 1658269642 Enrollment ID: O20040310000571 |
Mailing Address | Practice Location Address |
---|---|
Christopher J Moore, PT 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 Ph: (304) 363-8543 | Christopher J Moore, PT 802 E Main St, Mannington, WV 26582-1215 Ph: (304) 986-9007 |
Lori-ann Michelle Jackson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 Market St, Mannington, WV 26582 Phone: 304-986-1568 Fax: 304-986-1373 | |
Benjamin David Ray, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 802 E Main St, Mannington, WV 26582 Phone: 304-986-9007 | |
Joseph Adam Potesta, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 802 E Main St, Mannington, WV 26582 Phone: 304-986-9007 Fax: 304-986-9080 | |
First Settlement Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 E Main St, Mannington, WV 26582 Phone: 304-986-9007 | |
Jonathan B Wilson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 East Main St, Mannington, WV 26582 Phone: 304-986-9007 Fax: 304-986-9007 | |
Cole Amos, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 E Main St, Mannington, WV 26582 Phone: 304-986-9007 |