| Island Therapy Solutions | |
|
5030 Anchor Way Suites 5,7,9, 10 Christiansted VI 00820 | |
| (340) 719-7007 | |
| (340) 719-6655 |
| Full Name | Island Therapy Solutions |
|---|---|
| Speciality | Social Worker |
| Location | 5030 Anchor Way, Christiansted, Virgin Island |
| Authorized Official Name and Position | Lindsy K Yarger-wagner (CEO) |
| Authorized Official Contact | 3407197007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Therapy Solutions 5030 Anchor Way Suites 5,7,9, 10 Christiansted VI 00820 Ph: (340) 719-7007 | Island Therapy Solutions 5030 Anchor Way Suites 5,7,9, 10 Christiansted VI 00820 Ph: (340) 719-7007 |
| NPI Number | 1235402611 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 03/11/2020 |
| Certification Date | 03/11/2020 |
| Medicare PECOS PAC ID | 3476800574 |
|---|---|
| Medicare Enrollment ID | O20180720000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235402611 | NPI | - | NPPES |
| Provider Name | Lindsy K Yarger-wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124273412 PECOS PAC ID: 4082961180 Enrollment ID: I20180720000734 |
| Provider Name | Wayne C Etheridge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609923713 PECOS PAC ID: 9032468665 Enrollment ID: I20180815001778 |
| Provider Name | G Rita Dudley Grant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497870638 PECOS PAC ID: 8628327269 Enrollment ID: I20180815002496 |
| Provider Name | Gloria I Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326134644 PECOS PAC ID: 1759706369 Enrollment ID: I20200729003933 |
| Provider Name | Sophia Parrilla |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245648146 PECOS PAC ID: 2567887185 Enrollment ID: I20200729004020 |
| Provider Name | Jennifer D Hendricks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740434828 PECOS PAC ID: 1951726215 Enrollment ID: I20200803002882 |
| Provider Name | Michele Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659639763 PECOS PAC ID: 1153715388 Enrollment ID: I20220303001189 |
| Provider Name | Debra K Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093945552 PECOS PAC ID: 3173907342 Enrollment ID: I20220910000056 |
| Provider Name | Priscilla M Perry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528461043 PECOS PAC ID: 0749658490 Enrollment ID: I20221213000096 |
| Provider Name | Russell V Passante |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215220272 PECOS PAC ID: 1759756455 Enrollment ID: I20230421001312 |
| Provider Name | Deeanne Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982914677 PECOS PAC ID: 3072974385 Enrollment ID: I20230804000211 |
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