Catherine Alberta Bachtell, PTA

Individual provider Active NPI Physical Therapy Assistant · Charles Town, WV

NPI 1972862035 · NPPES record last updated Jun 21, 2012

Key facts

NPI
1972862035
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA 001720 (WV)
Practice address
50 Mulberry Tree St
Charles Town, WV 25414-1274
Phone
(304) 724-1101
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
Yes

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
PTA 001720WVMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 001720 WV Yes

Addresses

Primary practice location

50 Mulberry Tree St
Charles Town, WV 25414-1274

Mailing address

38 Beaver TRL
Gerrardstown, WV 25420-3064
Phone (304) 596-0056

Other identifiers

IdentifierTypeStateIssuer
PTA001720OtherWVWV BOARD OF PHYSICAL THERAPY

Other providers in Charles Town, WV

All providers in Charles Town, WV · Physical Therapy Assistant in West Virginia

Sources for this page

Verify at the official NPI Registry.