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Contact Information

GREENBRIER VALLEY PHYSICAL THERAPY, LLC
18228 SENECA TRAIL
MARLINTON, WV24954
 Phone: 304-799-4500
 Fax: 304-799-4501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for GREENBRIER VALLEY PHYSICAL THERAPY, LLC

NPI # 1124118658
LBN Legal business name GREENBRIER VALLEY PHYSICAL THERAPY, LLC
Authorized official AMANDA STREETER - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 11/18/2023 - About 3 years ago
Identifiers
WV Medicaid 3810004589
WV Other ========= WV WORKERS COMP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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