Therapy Providers Service Organization, LLC
Organization Active NPI Physical Therapist · Kermit, WV
NPI 1740467463 · NPPES record last updated Apr 22, 2014
Key facts
- NPI
- 1740467463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- THERAPY PROVIDERS SERVICE ORGANIZATION, LLC
- Practice address
- 47454 Route 52
Kermit, WV 25674-8052 - Phone
- (304) 393-4072
- Fax
- (304) 393-4074
- NPI assigned
- Jan 24, 2008
- Organization subpart
- No
Authorized official
- Name
- Mark W Mascio
- Title
- President
- Phone
- (304) 723-3780
National Provider Directory
Locations
47454 Route 52
Kermit, WV 25674
Phone (304) 393-4072
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
47454 Route 52
Kermit, WV 25674-8052
Mailing address
414 Penco Rd
Weirton, WV 26062-3822
Phone (304) 723-3780
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002013370 | Other | WV | MOUNTAIN STATE BCBS |
| 3810011333 | Medicaid | WV |
Other names
- Brookeview Physical Therapy
Other providers in Kermit, WV
- Strosnider Drug Store Inc.
- Joyce Kaye Sturgell
- Kimberly Sue Sturgell
- Whitney Renea Sturgell
- Angel Beth Sumpter
- Three Rivers Medical Clinics Inc
- Valley Health Systems Inc
- Tonya Vance
- Kasey Dawn Walker
- Heather Lynn Waller
All providers in Kermit, WV · Physical Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.