Lacey Ann Cline, MPT
Individual provider Active NPI Physical Therapist · Weirton, WV
NPI 1861554933 · NPPES record last updated Apr 20, 2009
Key facts
- NPI
- 1861554933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 002590 (WV)
- Practice address
- 414 Penco Rd
Weirton, WV 26062-3822 - Phone
- (304) 723-3780
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
414 Penco Rd
Weirton, WV 26062-3822
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070103000330 | WV | Practitioner - Physical Therapist in Private Practice | 2365442084 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002590 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Physical Therapy Limited Partnership | Current |
Accepting new patients | |
| Summit Physical Therapy Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Preston Rehabilitation & Orthopedic Physical Therapy, Inc | Physical Therapist | Past |
Accepting new patients |
Locations
118 Carolina Ave
Chester, WV 26034
Phone (304) 387-0409
1425 Main St
Follansbee, WV 26037
Phone (304) 527-4472
621 N Chester St
New Cumberlnd, WV 26047
Phone (304) 564-1098
414 Penco Rd
Weirton, WV 26062
Phone (304) 723-3780
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002590 | WV | Yes |
Addresses
Primary practice location
414 Penco Rd
Weirton, WV 26062-3822
Mailing address
414 Penco Rd
Weirton, WV 26062-3822
Phone (304) 723-3780
Other names
- Ms. Lacey Ann Cashdollar
Other providers in Weirton, WV
- Christ the King Faith Temple Ministries
- Christopher Cowher, MD PLLC
- Jana M. Cipriani
- Gloria Clayton
- Jennifer Click
- Kelly B Close
- Kaylyn Cochran
- Emily Coen
- Cognitive Medicine Practice PLLC
- Denise Colson
All providers in Weirton, 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 20, 2009. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.