| Professional Sportscare & Rehab Of West Virginia, Llc | |
|
207 S Princess St Ste 3and4, Shepherdstown, WV 25443-1581 | |
| (304) 876-8600 | |
| (304) 876-8601 |
| Full Name | Professional Sportscare & Rehab Of West Virginia, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 207 S Princess St Ste 3and4, Shepherdstown, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548404577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 002689 (West Virginia) | Primary |
| Provider Name | Christopher A Horowicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417007741 PECOS PAC ID: 2466554936 Enrollment ID: I20090413000010 |
| Provider Name | Jeffrey S Botta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124370127 PECOS PAC ID: 1658523881 Enrollment ID: I20121214000118 |
| Provider Name | Kristin M Lumm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467773895 PECOS PAC ID: 2163556440 Enrollment ID: I20140709001427 |
| Provider Name | Wesley M Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972911071 PECOS PAC ID: 0244452100 Enrollment ID: I20141107001220 |
| Provider Name | Marlon M Ming |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164660510 PECOS PAC ID: 7416073556 Enrollment ID: I20160428000112 |
| Provider Name | Michael Priestas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427407915 PECOS PAC ID: 1951693803 Enrollment ID: I20160713001212 |
| Provider Name | Jeff Landy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225405798 PECOS PAC ID: 4587973540 Enrollment ID: I20170220000417 |
| Provider Name | Emily H Priestas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639609761 PECOS PAC ID: 9032482575 Enrollment ID: I20170906001156 |
| Provider Name | Ashley Wertman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013435668 PECOS PAC ID: 8921364514 Enrollment ID: I20171115001037 |
| Provider Name | Elizabeth G Weaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932626223 PECOS PAC ID: 6305103458 Enrollment ID: I20180130002273 |
| Provider Name | Meghan E Musick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427323294 PECOS PAC ID: 3072776798 Enrollment ID: I20180613000697 |
| Provider Name | Laura Lindsay Leonard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295081958 PECOS PAC ID: 6901053669 Enrollment ID: I20180614001863 |
| Provider Name | Shelby Gibson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093297301 PECOS PAC ID: 2668711128 Enrollment ID: I20190227001229 |
| Provider Name | Shannon Sine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295260230 PECOS PAC ID: 6709140437 Enrollment ID: I20200129000243 |
| Provider Name | Christopher P Lester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447764527 PECOS PAC ID: 5092074815 Enrollment ID: I20200407002964 |
| Provider Name | Cheron Puryear |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164024014 PECOS PAC ID: 5799198974 Enrollment ID: I20210107000751 |
| Provider Name | Chelsea Nicole Lucas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144798828 PECOS PAC ID: 2466878335 Enrollment ID: I20210421001925 |
| Provider Name | Brianna Wasser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437729985 PECOS PAC ID: 1052709847 Enrollment ID: I20211027003262 |
| Provider Name | Blake Howard Debord |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275262438 PECOS PAC ID: 7810378247 Enrollment ID: I20220718000897 |
| Provider Name | Christine Biegert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417688599 PECOS PAC ID: 3476920018 Enrollment ID: I20230518000152 |
| Provider Name | Austin Wernecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265029672 PECOS PAC ID: 3476968157 Enrollment ID: I20230714001520 |
| Provider Name | Ashley Helsley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801581566 PECOS PAC ID: 4587027404 Enrollment ID: I20230824004293 |
| Provider Name | Christopher Panepucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710254065 PECOS PAC ID: 2365619400 Enrollment ID: I20231109001819 |
| Provider Name | Robert W Lyman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043687965 PECOS PAC ID: 8325357163 Enrollment ID: I20231215000392 |
| Provider Name | Courtney Randolph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588359624 PECOS PAC ID: 4385094168 Enrollment ID: I20240226002989 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Sportscare & Rehab Of West Virginia, Llc 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (252) 248-3133 | Professional Sportscare & Rehab Of West Virginia, Llc 207 S Princess St Ste 3and4, Shepherdstown, WV 25443-1581 Ph: (304) 876-8600 |
Alfred Starlings Iv, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 101 Maddex Square Dr, Shepherdstown, WV 25443 Phone: 304-876-1000 | |
Dr. Shannon Sine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 207 S Princess St Ste 3and4, Shepherdstown, WV 25443 Phone: 304-876-8600 Fax: 304-876-8601 | |
Mrs. Deanna Gail Gray, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Maddex Dr, Shepherdstown, WV 25443 Phone: 304-876-9422 | |
Dr. Christopher A Horowicz, D.P.T., A.T.C. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 207 S Princess St # 34, Shepherdstown, WV 25443 Phone: 304-876-8600 Fax: 304-876-8601 | |
Mrs. Ruth Ann Fedor Burns, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 80 Maddex Dr, Shepherdstown, WV 25443 Phone: 304-876-9422 Fax: 304-876-6869 | |
Pivot Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Maddex Dr, Ste 2, Shepherdstown, WV 25443 Phone: 304-876-8600 |