| Cody Enrietti, PT, DPT | |
|
841 Commerce St, Wellsburg, WV 26070-1528 | |
| (304) 737-0437 | |
| (304) 737-0581 |
| Full Name | Cody Enrietti |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 841 Commerce St, Wellsburg, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063275741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT004708 (West Virginia) | Primary |
| Provider Name | Mountain River Physical Therapy Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437754157 PECOS PAC ID: 1759795834 Enrollment ID: O20210201002102 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Enrietti, PT, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (304) 917-3660 | Cody Enrietti, PT, DPT 841 Commerce St, Wellsburg, WV 26070-1528 Ph: (304) 737-0437 |
Ms. Heather Lynn Black Darby, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 841 Commerce St, Wellsburg, WV 26070 Phone: 304-737-0437 Fax: 304-737-0581 | |
Mark Gregory Karnoupakis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 931 Charles St, Wellsburg, WV 26070 Phone: 304-737-7299 Fax: 304-737-7356 | |
Nxt Level Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 931 Charles St, Wellsburg, WV 26070 Phone: 304-737-7299 Fax: 304-737-7356 | |
Mr. James Christopher Frum, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 841 Commerce St, Wellsburg, WV 26070 Phone: 304-737-0437 Fax: 304-737-0581 | |
Mrs. Cherie Fullerton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Pleasant Avenue, Brooke County Board Of Education, Wellsburg, WV 26070 Phone: 304-737-3480 |