Lisa E Harris, PT | |
233 N Court St, Fayetteville, WV 25840-1233 | |
(304) 574-1416 | |
(304) 574-1474 |
Full Name | Lisa E Harris |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 38 Years |
Location | 233 N Court St, Fayetteville, West Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235314378 | NPI | - | NPPES |
0156959000 | Medicaid | WV | |
1003994054 | Other | WV | RR MEDICARE, GROUP NPI/PTAN #650011748 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 902 (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fayetteville Physical Therapy And Sports Rehabilitation | 1052451853 | 2 |
Provider Name | Fayetteville Physical Therapy & Sports Rehabilitation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003994054 PECOS PAC ID: 1052451853 Enrollment ID: O20091229000180 |
Mailing Address | Practice Location Address |
---|---|
Lisa E Harris, PT 233 N Court St, Fayetteville, WV 25840-1233 Ph: (304) 574-1416 | Lisa E Harris, PT 233 N Court St, Fayetteville, WV 25840-1233 Ph: (304) 574-1416 |
Jason Isaac Malcomb, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5447 Maple Ln, Fayetteville, WV 25840 Phone: 304-574-1141 | |
Ms. Anita Louise Swanson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayetteville, WV 25840 Phone: 304-574-1176 Fax: 304-574-3643 | |
Sharon Pack, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayetteville, WV 25840 Phone: 304-574-1176 |