| Samuel Jacob Foster, | |
|
174 N State Route 2 Ste 2, New Martinsville, WV 26155-1604 | |
| (304) 447-6778 | |
| (304) 447-6779 |
| Full Name | Samuel Jacob Foster |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 174 N State Route 2 Ste 2, New Martinsville, 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 |
|---|---|---|---|
| 1821553249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT004076 (West Virginia) | Primary |
| Provider Name | Clearwater Therapeutics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659600203 PECOS PAC ID: 3476688151 Enrollment ID: O20100319000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Jacob Foster, 415 36th St Ste 100, Parkersburg, WV 26101-1005 Ph: (304) 917-3660 | Samuel Jacob Foster, 174 N State Route 2 Ste 2, New Martinsville, WV 26155-1604 Ph: (304) 447-6778 |
Thomas Frye, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 N Wv-2, New Martinsville, WV 26155 Phone: 304-455-5515 | |
Lindsay Beckett, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 E Benjamin Dr, New Martinsville, WV 26155 Phone: 304-455-8007 | |
James Christopher Wisvari, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Russell Ave, New Martinsville, WV 26155 Phone: 304-455-2600 | |
Kelby R. Church, PT, DPT, OCS, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 174 N State Route 2 Ste 2, New Martinsville, WV 26155 Phone: 304-447-6778 Fax: 304-447-6779 | |
Roger Thomas Wells, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 174 N State Route 2 Ste 2, New Martinsville, WV 26155 Phone: 304-447-6778 Fax: 304-447-6779 | |
Kylie Brooks, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 E Benjamin Dr, New Martinsville, WV 26155 Phone: 304-455-8007 |