| Mountainside Physical Therapy Inc | |
|
12625 A Lee Hwy, Washington, VA 22274-1931 | |
| (540) 987-9390 | |
| (540) 987-9392 |
| Full Name | Mountainside Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12625 A Lee Hwy, Washington, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588833230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305004554 (Virginia) | Primary |
| Provider Name | Anne C Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235290727 PECOS PAC ID: 0446272678 Enrollment ID: I20051230000443 |
| Provider Name | Sarah K Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992019871 PECOS PAC ID: 2567656754 Enrollment ID: I20101102000130 |
| Provider Name | Ella M Mantiply |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619327343 PECOS PAC ID: 1850687443 Enrollment ID: I20160908000274 |
| Provider Name | Laura G Covill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245344712 PECOS PAC ID: 2264498989 Enrollment ID: I20211216000844 |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Physical Therapy Inc 12625 A Lee Hwy A, Washington, VA 22747-1931 Ph: (540) 987-9390 | Mountainside Physical Therapy Inc 12625 A Lee Hwy, Washington, VA 22274-1931 Ph: (540) 987-9390 |
Michael O'grady, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12625a Lee Hwy, Washington, VA 22747 Phone: 540-987-9395 | |
Mr. Christian Co, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12625a Lee Hwy, Washington, VA 22747 Phone: 540-987-9390 Fax: 540-987-9392 |