Teresa L. White

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19990357 Issued in WV

Legal business name

TERESA L. WHITE

Doing business as

Pro Medical Rehab

Practice address

Pro Medical Rehab 460 Mylan Park Lane
Morgantown, WV 26501

Phone

(304) 983-7766

Fax

(304) 983-7768

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John David Lynch, M.D.NPI 1336116276

Title

Ownerprovider

Phone

(304) 983-7766

Specialties & licenses 1

Addresses

Other names 1

• Pro Medical Rehab Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John David Lynch, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Morgantown, WV
  • NPI 1336116276
  Authorized official Same address or phone

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467668368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRO MEDICAL REHAB 460 MYLAN PARK LANE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26501",
            "telephone_number": "304-983-7766",
            "fax_number": "304-983-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRO MEDICAL REHAB 460 MYLAN PARK LANE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26501",
            "telephone_number": "304-983-7766",
            "fax_number": "304-983-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA L. WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNERPROVIDER",
        "authorized_official_telephone_number": "304-983-7766",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "19990357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Medical Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Tennant, FNP-BC
• Kacie Tennant, LGSW
• Nicole Dawn Tennant
• Cynthea Tenney
• Daniel Enrique Teran, MD
• Kylie Teter
• Stellman Teter Jr., MSN, RN, ACNPAG-C
• Maryam Tetlay, MD
• Thad Rusiecki, DDS, PLLC
• Shyam J. Thakkar, M.D.

• Massage Therapist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Massage Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.