Mishika Santosh Jagwani
Individual provider Active NPI Physical Therapist · Kearneysville, WV
NPI 1992464218 · NPPES record last updated Dec 14, 2021
Key facts
- NPI
- 1992464218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 28727 (MD)
- Practice address
- 1937 Short Rd
Kearneysville, WV 25430-2918 - Phone
- (304) 200-3578
- NPI assigned
- Dec 14, 2021
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28727 | MD | Yes |
Addresses
Primary practice location
1937 Short Rd
Kearneysville, WV 25430-2918
Mailing address
1937 Short Rd
Kearneysville, WV 25430-2918
Phone (304) 200-3578
Other providers in Kearneysville, WV
- Jason Hessler
- Michelle Hornbaker
- Hospice of the Panhandle, Inc.
- Hospice of the Panhandle, Inc.
- Erica M Huffman
- Jefferson County Board of Health
- Jefferson County Board of Health
- Jefferson Day Report Center, Inc.
- Alana Johnson
- Jennifer Kerns
All providers in Kearneysville, 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 Dec 14, 2021. 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.