Chasidy Pittman, DPT

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Woodsfield, OH

NPI 1477939775 · NPPES record last updated Aug 10, 2015

Key facts

NPI
1477939775
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
PT.015136 (OH)
Practice address
101 S Main St
Woodsfield, OH 43793-1022
Phone
(740) 472-1656
Fax
(740) 472-0328
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT.015136OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marden Rehabilitation Associates of Portage County, Inc. Past Accepting new patients
Marden Rehabilitation Associates of Ohio, Inc. Past
since Aug 30, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT.015136 OH Yes

Addresses

Primary practice location

101 S Main St
Woodsfield, OH 43793-1022

Mailing address

200 Putnam St
PO Box 941
Marietta, OH 45750-3005
Phone (740) 373-9446

Other providers in Woodsfield, OH

All providers in Woodsfield, OH · Physical Medicine & Rehabilitation Physician in Ohio

Sources for this page

Verify at the official NPI Registry.