Kelby R Church, PT, DPT, OCS, ATC | |
174 N State Route 2 Ste 2, New Martinsville, WV 26155-1604 | |
(304) 447-6778 | |
(304) 447-6779 |
Full Name | Kelby R Church |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 174 N State Route 2 Ste 2, New Martinsville, 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 |
---|---|---|---|
1639335540 | NPI | - | NPPES |
PENDING | Medicaid | OH | |
3810012940 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 002702 (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain River Physical Therapy Specialists Llc | 1759795834 | 31 |
Mountain River Physical Therapy Specialists Llc | 1759795834 | 31 |
Provider Name | Mountain River Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487668794 PECOS PAC ID: 0547259335 Enrollment ID: O20040507000524 |
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 |
---|---|
Kelby R Church, PT, DPT, OCS, ATC 415 36th St Ste 100, Parkersburg, WV 26101-1005 Ph: (304) 917-3660 | Kelby R Church, PT, DPT, OCS, ATC 174 N State Route 2 Ste 2, New Martinsville, WV 26155-1604 Ph: (304) 447-6778 |
Thomas Frye, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 N Wv-2, New Martinsville, WV 26155 Phone: 304-455-5515 | |
Lindsay Beckett, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 E Benjamin Dr, New Martinsville, WV 26155 Phone: 304-455-8007 | |
James Christopher Wisvari, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Russell Ave, New Martinsville, WV 26155 Phone: 304-455-2600 | |
Samuel Jacob Foster, Physical Therapist Medicare: Medicare Enrolled Practice Location: 174 N State Route 2 Ste 2, New Martinsville, WV 26155 Phone: 304-447-6778 Fax: 304-447-6779 | |
Roger Thomas Wells, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 174 N State Route 2 Ste 2, New Martinsville, WV 26155 Phone: 304-447-6778 Fax: 304-447-6779 | |
Kylie Brooks, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 E Benjamin Dr, New Martinsville, WV 26155 Phone: 304-455-8007 |