Debra Elaine Frazier

Individual provider Active NPI Physical Therapist · Wheeling, WV

NPI 1508043076 · NPPES record last updated Jan 28, 2008

Key facts

NPI
1508043076
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
000399 (WV)
Practice address
2203 National Rd
Wheeling, WV 26003-5203
Phone
(304) 243-0300
Fax
(304) 243-0328
NPI assigned
Jan 28, 2008
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
000399WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Board of Education Past Accepting new patients
Ohio County Board of Education Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 000399 WV Yes

Addresses

Primary practice location

2203 National Rd
Wheeling, WV 26003-5203

Mailing address

2203 National Rd
Wheeling, WV 26003-5203
Phone (304) 243-0300

Other identifiers

IdentifierTypeStateIssuer
0155909000MedicaidWV

Other providers in Wheeling, WV

All providers in Wheeling, WV · Physical Therapist in West Virginia

Sources for this page

Verify at the official NPI Registry.