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NPI Code Detail

MEDICARE: ELKINS PHYSICAL THERAPY SERVICE, INC.

MEDICARE: ELKINS PHYSICAL THERAPY SERVICE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/CenterPT002503WV

General Provider Information

NPI Number : 1295277218
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELKINS PHYSICAL THERAPY SERVICE, INC.
Provider Business Mailing Address
First Line : PO BOX 3
Second Line :
City : ELKINS
State : WV
Zip : 26241-0003
Country : US
Telephone Number : 304-636-2340
Fax Number : 304-636-1583
Provider Business Practice Location Address
First Line : 1620 HARRISON AVE
Second Line :
City : ELKINS
State : WV
Zip : 26241-8502
Country : US
Telephone Number : 304-636-2340
Fax Number : 304-636-1583
Authorized Official
Title or Position : ADMIN
Name : JENNA LEE
Credential :
Telephone Number : 304-636-2340
Provider Enumeration Date : 11/08/2016
Last Update Date : 04/20/2026

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