Frank Edward Ivan Iii, PT | |
2650 S Pleasant Valley Rd, Winchester, VA 22601-6518 | |
(540) 228-1941 | |
Not Available |
Full Name | Frank Edward Ivan Iii |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2650 S Pleasant Valley Rd, Winchester, 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 |
K949 - 0077 | Other | VA | CAREFIRST |
2307001197 | Other | VA | DIRECT ACCESS CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 004477 (West Virginia) | Secondary |
225100000X | Physical Therapist | 2305206758 (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 |
Provider Name | Professional Sportscare & Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20161101000040 |
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 2650 S Pleasant Valley Rd, Winchester, VA 22601-6518 Ph: (540) 228-1941 |
Lauren Navarrete, Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 E Piccadilly St Ste 11, Winchester, VA 22601 Phone: 877-407-3422 Fax: 877-407-4329 | |
Dana Francis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Lauck Dr, Winchester, VA 22603 Phone: 540-667-7830 Fax: 540-535-2048 | |
Emily Olguin, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 E Piccadilly St Ste 11&14, Winchester, VA 22601 Phone: 877-407-3422 | |
Emily Wernecke, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 230 Costello Dr Ste 1, Winchester, VA 22602 Phone: 540-665-4444 Fax: 540-665-4473 | |
Madison Ernstes, Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 E Piccadilly St Ste 11&14, Winchester, VA 22601 Phone: 877-407-3422 Fax: 877-407-4329 | |
Ann Baker, Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 E Piccadilly St Ste 11&14, Winchester, VA 22601 Phone: 877-407-3422 Fax: 877-407-4329 | |
Claire Tallman Gerber, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 E Piccadilly St Ste 11&14, Winchester, VA 22601 Phone: 877-407-3422 |