Ms Tracey E Humphrey, MSPT | |
202 Opekiska Rd, Fairmont, WV 26554-8753 | |
(304) 612-4945 | |
Not Available |
Full Name | Ms Tracey E Humphrey |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 202 Opekiska Rd, Fairmont, 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 |
---|---|---|---|
1538465356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 001565 (West Virginia) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336858398 PECOS PAC ID: 2365359932 Enrollment ID: O20230426003181 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracey E Humphrey, MSPT 202 Opekiska Rd, Fairmont, WV 26554-8753 Ph: (304) 612-4945 | Ms Tracey E Humphrey, MSPT 202 Opekiska Rd, Fairmont, WV 26554-8753 Ph: (304) 612-4945 |
Jenna Snyder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 Fairmont Ave, Fairmont, WV 26554 Phone: 304-363-0050 Fax: 304-363-0048 | |
Dr. David Wegert, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1509 Fairmont Ave, Fairmont, WV 26554 Phone: 304-363-0050 | |
Elevate Physical Therapy, Corp. Physical Therapist Medicare: Medicare Enrolled Practice Location: 51 Middletown Rd, Fairmont, WV 26554 Phone: 304-612-5916 | |
Jeniece Marie Kegley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1539 Country Club Rd, Fairmont, WV 26554 Phone: 843-235-9393 | |
Ms. Ila Beth Anderson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 Southland Dr, Suite 2300, Fairmont, WV 26554 Phone: 304-363-3167 Fax: 304-363-1725 | |
Addison Kaufmann, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1228 Country Club Rd Ste 15, Fairmont, WV 26554 Phone: 304-366-0461 | |
Gabriel Wilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 719 Fairmont Ave, Suite 102, Fairmont, WV 26554 Phone: 304-363-8543 Fax: 304-363-1073 |