| Red Canyon, Llc | |
|
5801 Williamsport Pike Ste 200, Martinsburg, WV 25404-6590 | |
| (304) 244-5442 | |
| Not Available |
| Full Name | Red Canyon, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5801 Williamsport Pike Ste 200, Martinsburg, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841872405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Matthew Rosewag |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659820934 PECOS PAC ID: 1254619539 Enrollment ID: I20210915001934 |
| Provider Name | Jesse Smartt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366891897 PECOS PAC ID: 7416242987 Enrollment ID: I20210923000803 |
| Provider Name | Sarah Falvey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912055351 PECOS PAC ID: 9739282039 Enrollment ID: I20221020002820 |
| Provider Name | Brian Weisman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992711634 PECOS PAC ID: 0840254959 Enrollment ID: I20221031002202 |
| Provider Name | Gillian Diestel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679054282 PECOS PAC ID: 5597009464 Enrollment ID: I20221122000558 |
| Provider Name | Max Mccloskey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225696297 PECOS PAC ID: 4183959968 Enrollment ID: I20221130001507 |
| Mailing Address | Practice Location Address |
|---|---|
| Red Canyon, Llc 5801 Williamsport Pike Ste 200, Martinsburg, WV 25404-6590 Ph: () - | Red Canyon, Llc 5801 Williamsport Pike Ste 200, Martinsburg, WV 25404-6590 Ph: (304) 244-5442 |
Dr. Rickard Dustin Jones, PT, DPT, ATC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 772 Foxcroft Ave, Martinsburg, WV 25401 Phone: 304-262-8161 | |
Lauree Lorensen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1008 Tavern Rd Ste 200, Martinsburg, WV 25401 Phone: 304-267-0866 Fax: 304-267-8348 | |
Dr. Chrystal L Mcdonald, MPT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Rock Cliff Dr, Martinsburg, WV 25401 Phone: 304-267-0866 Fax: 304-267-8348 | |
Mr. Justin P Lowe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 855 Caperton Blvd, Martinsburg, WV 25403 Phone: 414-566-3803 Fax: 414-566-3803 | |
Amy Lynn Lowe, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Rock Cliff Dr, Martinsburg, WV 25401 Phone: 304-267-0866 Fax: 304-267-0867 | |
Shelby Gibson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5078 Williamsport Pike Ste 1, Martinsburg, WV 25404 Phone: 304-271-8895 | |
Dr. Jason Michael Simmons, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 304-263-0811 Fax: 304-262-1384 |