Summit Physical Therapy Inc | |
621 N Chester St, New Cumberland, WV 26047-9604 | |
(304) 564-1098 | |
(304) 564-5020 |
Full Name | Summit Physical Therapy Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 621 N Chester St, New Cumberland, 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 |
---|---|---|---|
1003032053 | NPI | - | NPPES |
3810004835 | Medicaid | WV | |
========= | Other | WV | TAX ID |
000745331 | Other | WV | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 001084 (West Virginia) | Primary |
Provider Name | Nicholas Martin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124030168 PECOS PAC ID: 0547174310 Enrollment ID: I20031117000432 |
Provider Name | Virginia G Mozingo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366527715 PECOS PAC ID: 4981518727 Enrollment ID: I20031117000481 |
Provider Name | Mark W. Mascio |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568473585 PECOS PAC ID: 6002720877 Enrollment ID: I20031117000550 |
Provider Name | James Christopher Frum |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942370812 PECOS PAC ID: 4587671235 Enrollment ID: I20060321000460 |
Provider Name | Lacey A Cline |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861554933 PECOS PAC ID: 2365442084 Enrollment ID: I20070103000330 |
Provider Name | Mara Beth Didiano |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336567148 PECOS PAC ID: 6305061490 Enrollment ID: I20140703000986 |
Provider Name | Cody David Wells |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629568217 PECOS PAC ID: 7012262405 Enrollment ID: I20180627000035 |
Provider Name | Zachary M Teaff |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881174209 PECOS PAC ID: 9638429293 Enrollment ID: I20200317002402 |
Provider Name | Julie R Thomas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972119147 PECOS PAC ID: 4183034168 Enrollment ID: I20201103000122 |
Provider Name | Jon Kyle Degregorio |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558954487 PECOS PAC ID: 0143635151 Enrollment ID: I20210510001999 |
Provider Name | Matthew T Starkman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710642731 PECOS PAC ID: 8224427711 Enrollment ID: I20211123001643 |
Provider Name | Brandon Walbert |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346978129 PECOS PAC ID: 0840675179 Enrollment ID: I20220922000700 |
Mailing Address | Practice Location Address |
---|---|
Summit Physical Therapy Inc 414 Penco Rd, Weirton, WV 26062-3822 Ph: (304) 723-3780 | Summit Physical Therapy Inc 621 N Chester St, New Cumberland, WV 26047-9604 Ph: (304) 564-1098 |
Virginia Mozingo, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1114 Ridge Ave, New Cumberland, WV 26047 Phone: 304-564-1098 Fax: 304-564-5020 |