| Misty Householder, | |
|
23 Fitness Ln, Berkeley Springs, WV 25411-7080 | |
| (304) 258-1300 | |
| (304) 258-1400 |
| Full Name | Misty Householder |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 23 Fitness Ln, Berkeley Springs, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316310964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 003391 (West Virginia) | Primary |
| 225100000X | Physical Therapist | 2305209011 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rankin Physical Therapy Llc | 9335179654 | 14 |
| Provider Name | Rankin Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104034073 PECOS PAC ID: 9335179654 Enrollment ID: O20050817000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Householder, 23 Fitness Ln, Berkeley Springs, WV 25411-7080 Ph: (304) 258-1300 | Misty Householder, 23 Fitness Ln, Berkeley Springs, WV 25411-7080 Ph: (304) 258-1300 |
Rankin Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 23 Fitness Ln, Berkeley Springs, WV 25411 Phone: 304-258-1300 Fax: 304-258-1400 | |
Mr. Kyle Jordan Blair, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Fitness Ln, Berkeley Springs, WV 25411 Phone: 304-258-1300 Fax: 304-258-1400 | |
Mr. Justin Gregory Delong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Healthy Way, Berkeley Springs, WV 25411 Phone: 304-258-6516 | |
Christopher Charles Linehan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Fitness Ln, Berkeley Springs, WV 25411 Phone: 304-258-1300 Fax: 304-258-1400 | |
Mrs. Erin Elizabeth Stratford, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Fitness Lane, Berkeley Springs, WV 25411 Phone: 304-258-1300 Fax: 304-258-1400 |