Physical Therapy Providers PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

001137 Issued in WV

Legal business name

PHYSICAL THERAPY PROVIDERS PLLC

Practice address

240 Washington Street
Ravenswood, WV 26164

Phone

(304) 273-8071

Fax

(304) 273-8015

NPI assigned

Apr 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Karen Lynn Schirmer

Title

Office Manager

Phone

(304) 273-8071

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PT Providers PLLC Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ann Dreza Alino Fernandez, PT, COMT

  • Physical Therapist
  • Mineral Wells, WV
  • NPI 1902297906
  NPD (past)
• Tracy Lee Garavaglia, M.P.T., A.T.C.

  • Physical Therapist
  • Nutter Fort, WV
  • NPI 1164401162
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1013039965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "26164",
            "telephone_number": "304-273-8071",
            "fax_number": "304-273-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WASHINGTON STREET",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "26164",
            "telephone_number": "304-273-8071",
            "fax_number": "304-273-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "SCHIRMER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-273-8071",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WV",
            "license": "001137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240611000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT Providers PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hollie Ottman
• Haley Elizabeth Palmer, LGSW
• Jane Elizabeth Parsons
• Amanda Lee Payne, PTA
• Morgan Perrine
• Marissa Kay Poorman, PHARMD
• Renea Pursley
• Quad/Med, LLC
• Kimberly Renee Rankin
• Ravenswood Family Medicine Ctr

• All providers in Ravenswood, WV
• Physical Therapy Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.