| George Rusty Nelson, DPT | |
|
200 Maplewood Ave, Ronceverte, WV 24970-1361 | |
| (304) 647-1175 | |
| (304) 647-3006 |
| Full Name | George Rusty Nelson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 14 Years |
| Location | 200 Maplewood Ave, Ronceverte, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447533203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 002953 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Performance Physical Therapy And Rehabilitation | 4183927221 | 5 |
| Provider Name | Performance Physical Therapy And Rehabilitation |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457716359 PECOS PAC ID: 4183927221 Enrollment ID: O20160517000643 |
| Mailing Address | Practice Location Address |
|---|---|
| George Rusty Nelson, DPT 200 Maplewood Ave, Ronceverte, WV 24970-1361 Ph: (304) 647-1175 | George Rusty Nelson, DPT 200 Maplewood Ave, Ronceverte, WV 24970-1361 Ph: (304) 647-1175 |
Travis L Mcclintic, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Davis Stuart Rd, Ronceverte, WV 24970 Phone: 304-647-3987 Fax: 304-647-3990 | |
Mary Elise Mcclintic, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Davis Stuart Rd, Ronceverte, WV 24970 Phone: 304-647-3987 Fax: 304-647-3990 | |
Daniel M Davis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Davis Stuart Rd, Ronceverte, WV 24970 Phone: 304-647-3987 Fax: 304-647-3990 | |
Kelsie R Gillespie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970 Phone: 304-647-3987 Fax: 304-647-3990 | |
Rikinkumar V Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 Sunset Dr, Ronceverte, WV 24970 Phone: 681-220-0011 | |
Miss Eleane Barboza Dumaguin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8942 Seneca Trl S, Ronceverte, WV 24970 Phone: 304-645-7474 |