Jocelyn Bond, MA PT

Individual provider Active NPI Physical Therapist · Welch, WV

NPI 1972945574 · NPPES record last updated Jul 24, 2013

Key facts

NPI
1972945574
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT 002830 (WV)
Practice address
19771 Coal Heritage Rd
Welch, WV 24801
Phone
(304) 682-7100
Fax
(304) 682-7400
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy and Rehabilitation (5 clinicians)

Practice addresses (Care Compare)

2286 Ritter Dr
Daniels, WV 25832-9397
Phone (304) 237-5585

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WV

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160921001411 WV Practitioner - Physical Therapist in Private Practice 0941597892 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PT 002830WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy and Rehabilitation Physical Therapist Current
since Jun 15, 2016
Accepting new patients

Locations

2286 Ritter Dr
Daniels, WV 25832
Phone (304) 237-5585

1338 Ritter Dr
Daniels, WV 25832
Phone (304) 237-5585

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 002830 WV Yes

Addresses

Primary practice location

19771 Coal Heritage Rd
Welch, WV 24801

Mailing address

215 Meadows Ave
Crab Orchard, WV 25827-9532
Phone (304) 575-6874

Other providers in Welch, WV

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

Sources for this page

Verify at the official NPI Registry.