MEDICARE: MRS. JACQUELINE J ROSS PTA

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
1	225200000X	Physical Therapy Assistant	0991	WV
2	225200000X	Physical Therapy Assistant	A2724	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A2724	OTHER	MD	PHYSICAL THERAPIST ASSIT
2	0991	OTHER	WV	PHYSICAL THERAPIST ASSIST

General Provider Information

NPI Number	:	1003940297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JACQUELINE J ROSS PTA

Provider Business Mailing Address
First Line	:	PO BOX 686
Second Line	:
City	:	FORT ASHBY
State	:	WV
Zip	:	26719-0686
Country	:	US
Telephone Number	:	304-298-3602
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 DIANE DR
Second Line	:
City	:	FORT ASHBY
State	:	WV
Zip	:	26719-0686
Country	:	US
Telephone Number	:	304-298-3602
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1356340673 — FORT ASHBY VOLUNTEER FIRE CO INC
Practice Location Address:

GREEN AND WASHINGTON STREETS
FORT ASHBY, WV
26719

Practice Phone: 304-298-3358
Practice Fax:

1144269663 — DAWN VIEW MANOR, INC.
Practice Location Address:

DIANE DRIVE
FORT ASHBY, WV
26719

Practice Phone: 304-298-3602
Practice Fax: 304-298-4597

1225052715 — SARA LOUISE EVANS LPC NCC
Practice Location Address:

9998 FRANKFORT HIGHWAY
FORT ASHBY, WV
26719

Practice Phone: 304-298-4443
Practice Fax: 304-298-4443

1063515302 — RONALD J HAGGERTY DDS
Practice Location Address:

LINCOLN STREET
FORT ASHBY, WV
26719

Practice Phone: 304-298-3501
Practice Fax: 304-298-3406

1104962729 — BRADDOCK MEDICAL GROUP P.A.
Practice Location Address:

70 PRESIDENTS STREET , UNIT 1150
FORT ASHBY, WV
26719-1150

Practice Phone: 304-298-3605
Practice Fax: 304-298-3578

1417073982 — ERIN Q KING COTA
Practice Location Address:

1 DIANE DRIVE
FORT ASHBY, WV
26719-1800

Practice Phone: 304-298-3602
Practice Fax:

Directions to “ MRS. JACQUELINE J ROSS PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.