Expectations Therapy Services, LLC
Organization Active NPI Medical Specialty Clinic/Center · Junior, WV
NPI 1821249335 · NPPES record last updated Oct 2, 2008
Key facts
- NPI
- 1821249335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- License
- 430 (WV)
- Legal business name
- EXPECTATIONS THERAPY SERVICES, LLC
- Practice address
- 205 2ND St.
Junior, WV 26275-0344 - Phone
- (304) 823-1505
- Fax
- (304) 823-1505
- NPI assigned
- Oct 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Anita Loraine Nesland, OTR/L
- Title
- Occupational Therapist, Owner
- Phone
- (304) 823-1505
Practitioners 1
-
Anita Loraine Nesland, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090305000202 | WV | Part B Supplier - Clinic/Group Practice | 8527124163 |
Receives reassigned benefits from 1 practitioner Practice locations: Junior, WV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 430 | WV | Yes |
Addresses
Primary practice location
205 2ND St.
Junior, WV 26275-0344
Mailing address
PO Box 344
205 2ND St.
Junior, WV 26275-0344
Phone (304) 823-1505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7503054000 | Medicaid | WV |
Other names
- Expectations Therapy Services
Other providers in Junior, WV
- Amanda Beohm
- Lesley Rae England
- Stephanie Gomez
- Mary Haderman
- Anita Loraine Nesland
- Kimberly Ann Pharis
- Frank Snyder
All providers in Junior, WV · Medical Specialty Clinic/Center 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 Oct 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.