Frank Edward Ivan Iii, PT | |
13857 Apple Harvest Dr, Martinsburg, WV 25403-6199 | |
(681) 248-5384 | |
Not Available |
Full Name | Frank Edward Ivan Iii |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 13857 Apple Harvest Dr, Martinsburg, 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 |
---|---|---|---|
1730485376 | NPI | - | NPPES |
2307001197 | Other | VA | DIRECT ACCESS CERTIFICATION |
K949 - 0077 | Other | VA | CAREFIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305206758 (Virginia) | Secondary |
225100000X | Physical Therapist | 004477 (West Virginia) | Primary |
Provider Name | Fox Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20091019000338 |
Mailing Address | Practice Location Address |
---|---|
Frank Edward Ivan Iii, PT 296 Big Timber Rd, Capon Bridge, WV 26711-8943 Ph: (304) 860-5366 | Frank Edward Ivan Iii, PT 13857 Apple Harvest Dr, Martinsburg, WV 25403-6199 Ph: (681) 248-5384 |
Dr. Rickard Dustin Jones, PT, DPT, ATC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 772 Foxcroft Ave, Martinsburg, WV 25401 Phone: 304-262-8161 | |
Lauree Lorensen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1008 Tavern Rd Ste 200, Martinsburg, WV 25401 Phone: 304-267-0866 Fax: 304-267-8348 | |
Dr. Chrystal L Mcdonald, MPT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Rock Cliff Dr, Martinsburg, WV 25401 Phone: 304-267-0866 Fax: 304-267-8348 | |
Mr. Justin P Lowe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 855 Caperton Blvd, Martinsburg, WV 25403 Phone: 414-566-3803 Fax: 414-566-3803 | |
Amy Lynn Lowe, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Rock Cliff Dr, Martinsburg, WV 25401 Phone: 304-267-0866 Fax: 304-267-0867 | |
Elizabeth Thacker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Retail Commons Pkwy Ste 3, Martinsburg, WV 25403 Phone: 681-252-9250 | |
April Lea Perkins, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1002 Tavern Rd, Martinsburg, WV 25401 Phone: 304-264-1214 |