Mr Justin Gregory Delong, | |
1 Healthy Way, Berkeley Springs, WV 25411-7463 | |
(304) 258-6516 | |
Not Available |
Full Name | Mr Justin Gregory Delong |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1 Healthy Way, Berkeley Springs, 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 |
---|---|---|---|
1306318647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305212262 (Virginia) | Secondary |
225100000X | Physical Therapist | PT003716 (West Virginia) | Primary |
Provider Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Mailing Address | Practice Location Address |
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Mr Justin Gregory Delong, 102 Rooftop Ct, Stephenson, VA 22656-1983 Ph: (916) 743-4346 | Mr Justin Gregory Delong, 1 Healthy Way, Berkeley Springs, WV 25411-7463 Ph: (304) 258-6516 |
Rankin Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 23 Fitness Ln, Berkeley Springs, WV 25411 Phone: 304-258-1300 Fax: 304-258-1400 | |
Mr. Kyle Jordan Blair, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Fitness Ln, Berkeley Springs, WV 25411 Phone: 304-258-1300 Fax: 304-258-1400 | |
Misty Householder, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23 Fitness Ln, Berkeley Springs, WV 25411 Phone: 304-258-1300 Fax: 304-258-1400 | |
Christopher Charles Linehan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Fitness Ln, Berkeley Springs, WV 25411 Phone: 304-258-1300 Fax: 304-258-1400 | |
Mrs. Erin Elizabeth Stratford, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Fitness Lane, Berkeley Springs, WV 25411 Phone: 304-258-1300 Fax: 304-258-1400 |