| Southern West Virginia Physical Therapy | |
|
6107 Crawley Creek Rd., Chapmanville, WV 25508 | |
| (304) 855-9500 | |
| (304) 855-9525 |
| Full Name | Southern West Virginia Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6107 Crawley Creek Rd., Chapmanville, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245411701 | NPI | - | NPPES |
| 7302394000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 002118 (West Virginia) | Primary |
| Provider Name | Patrick M Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114028214 PECOS PAC ID: 6901829811 Enrollment ID: I20111117000523 |
| Provider Name | Stephan A Ball |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700295565 PECOS PAC ID: 5395069835 Enrollment ID: I20150112000008 |
| Provider Name | Summer L Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952924292 PECOS PAC ID: 0446672265 Enrollment ID: I20200624003194 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern West Virginia Physical Therapy Po Box 1647, Chapmanville, WV 25508-1647 Ph: (304) 855-9500 | Southern West Virginia Physical Therapy 6107 Crawley Creek Rd., Chapmanville, WV 25508 Ph: (304) 855-9500 |
Lyndsay Gore Paugh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Friendly Neighbor Plaza Suite E, Chapmanville, WV 25508 Phone: 304-855-9500 | |
Mr. Patrick M Ellis, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6107 Crawley Creek Rd., Chapmanville, WV 25508 Phone: 304-855-9500 Fax: 304-855-9525 | |
Derek Dalton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 560 Main Street, Chapmanville, WV 25508 Phone: 304-928-1446 | |
Jill Leann Hensley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 560 S Main St, Chapmanville, WV 25508 Phone: 304-310-4721 | |
Summer Hill, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 80 Friendly Neighbor Plaza, Chapmanville, WV 25508 Phone: 304-855-9500 Fax: 304-855-9525 |