<Unavail>

LBN: Mountain State Physical Therapy Llc
<Unavail> is an health care organization with primary practice located at 200 Fairmont Ave Ste 104 , Fairmont WV 26554-0171. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Mountain State Physical Therapy Llc can be contacted via phone (304) 363-8543, or through Barrish, Andrew J. via phone (304) 363-8543.

Contact Information

Primary practice address
200 Fairmont Ave Ste 104 Fairmont WV 26554-0171
Phone: (304) 363-8543
Fax: (304) 363-0173
Website:
Map and Directions
Authorized official contact:
Name: Barrish, Andrew J. Physical Therapist (PT)
Phone: (304) 363-8543

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X West Virginia

Profile Details

NPI number 1083668875
LBN Legal business name Mountain State Physical Therapy Llc
DBA Doing business as <Unavail>
Authorized official Barrish, Andrew J. Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Aug 8th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083668875 NPPES
West Virginia MEDICAID 0202606000
West Virginia Other DB3679

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