Cody Enrietti, PT, DPT | |
841 Commerce St, Wellsburg, WV 26070-1528 | |
(304) 737-0437 | |
(304) 737-0581 |
Full Name | Cody Enrietti |
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Gender | Male |
Speciality | Physical Therapist |
Location | 841 Commerce St, Wellsburg, 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 |
---|---|---|---|
1063275741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT004708 (West Virginia) | Primary |
Provider Name | Mountain River Physical Therapy Specialists Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1437754157 PECOS PAC ID: 1759795834 Enrollment ID: O20210201002102 |
Mailing Address | Practice Location Address |
---|---|
Cody Enrietti, PT, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (304) 917-3660 | Cody Enrietti, PT, DPT 841 Commerce St, Wellsburg, WV 26070-1528 Ph: (304) 737-0437 |
Ms. Heather Lynn Black Darby, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 841 Commerce St, Wellsburg, WV 26070 Phone: 304-737-0437 Fax: 304-737-0581 | |
Mark Gregory Karnoupakis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 931 Charles St, Wellsburg, WV 26070 Phone: 304-737-7299 Fax: 304-737-7356 | |
Nxt Level Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 931 Charles St, Wellsburg, WV 26070 Phone: 304-737-7299 Fax: 304-737-7356 | |
Mr. James Christopher Frum, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 841 Commerce St, Wellsburg, WV 26070 Phone: 304-737-0437 Fax: 304-737-0581 | |
Mrs. Cherie Fullerton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Pleasant Avenue, Brooke County Board Of Education, Wellsburg, WV 26070 Phone: 304-737-3480 |