Mr Trent Roederer, PT | |
155 E Main St, Suite 148, Mcconnelsville, OH 43756-1296 | |
(740) 962-4441 | |
(740) 962-4488 |
Full Name | Mr Trent Roederer |
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Gender | Male |
Speciality | Physical Therapist |
Location | 155 E Main St, Mcconnelsville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033435623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 012758 (Ohio) | Primary |
Provider Name | Roederer Rehabilitation And Wellness Center, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811577364 PECOS PAC ID: 2466846431 Enrollment ID: O20220308002936 |
Mailing Address | Practice Location Address |
---|---|
Mr Trent Roederer, PT 133 Rosemar Rd, Ste 1, Parkersburg, WV 26104-7609 Ph: (304) 295-3060 | Mr Trent Roederer, PT 155 E Main St, Suite 148, Mcconnelsville, OH 43756-1296 Ph: (740) 962-4441 |
Jennifer M Castello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 61 E Main St, Mcconnelsville, OH 43756 Phone: 740-962-4441 | |
Mrs. Amber Dawn Blasczyk, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4114 N State Route 376 Nw, Mcconnelsville, OH 43756 Phone: 740-962-3761 | |
Sarah Melchiori, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 61 E Main St, Mcconnelsville, OH 43756 Phone: 740-962-4441 | |
Nicole Copeland, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 61 E Main St, Mcconnelsville, OH 43756 Phone: 740-962-4441 Fax: 740-962-4488 |