| Advanced Physical Therapy, Pllc | |
|
4301 Maccorkle Ave Se, Charleston, WV 25304-2503 | |
| (304) 720-9185 | |
| (304) 720-9186 |
| Full Name | Advanced Physical Therapy, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4301 Maccorkle Ave Se, Charleston, 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 |
|---|---|---|---|
| 1538236104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1571 (West Virginia) | Primary |
| Provider Name | Jamie L Tridico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780882928 PECOS PAC ID: 3173624731 Enrollment ID: I20070726000188 |
| Provider Name | Lucas J Gregory |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033134580 PECOS PAC ID: 5698876183 Enrollment ID: I20070727000538 |
| Provider Name | Stephen J Summers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659391373 PECOS PAC ID: 0648361790 Enrollment ID: I20070803000589 |
| Provider Name | Caroline L Sword |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306009188 PECOS PAC ID: 8820164676 Enrollment ID: I20080903000166 |
| Provider Name | Joyce S Klee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689652745 PECOS PAC ID: 8527055888 Enrollment ID: I20150225000928 |
| Provider Name | Jessica Lynn Roach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437388295 PECOS PAC ID: 2062708258 Enrollment ID: I20160914002610 |
| Provider Name | Debora K Mattingly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154714103 PECOS PAC ID: 1153692181 Enrollment ID: I20170809000766 |
| Provider Name | Laura B Stephens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578044244 PECOS PAC ID: 5991058125 Enrollment ID: I20181105002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Physical Therapy, Pllc 4301 Maccorkle Ave Se, Charleston, WV 25304-2503 Ph: (304) 720-9185 | Advanced Physical Therapy, Pllc 4301 Maccorkle Ave Se, Charleston, WV 25304-2503 Ph: (304) 720-9185 |
Sarah Sturm, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 Maccorkle Ave Sw Ste 100, Charleston, WV 25303 Phone: 304-746-3704 Fax: 304-744-5891 | |
Scott Smolder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Tracy Way Ste 100, Charleston, WV 25311 Phone: 304-720-0205 | |
Mrs. Mary Elizabeth Trethewey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 699 S Park Rd, Charleston, WV 25304 Phone: 304-925-1532 | |
Adrienne J Harper, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Tracy Way, Charleston, WV 25311 Phone: 304-388-4900 | |
Matthew Bauman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6281 Sissonville Dr Ste B, Charleston, WV 25312 Phone: 304-984-2800 | |
Amy Ellison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Association Dr, Charleston, WV 25311 Phone: 304-347-4372 | |
Nicole M Charbonniez, Physical Therapist Medicare: Medicare Enrolled Practice Location: 600 Tracy Way, Charleston, WV 25311 Phone: 304-388-4900 |