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1174617088

NPI Code Detail

MEDICARE: MR. JOHN IRA KIRLANGITIS DPT

MEDICARE: MR. JOHN IRA KIRLANGITIS DPT

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	225100000X	Physical Therapist	PT016500	PA
2	225100000X	Physical Therapist	PT010424	OH
3	225100000X	Physical Therapist	002305	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174617088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN IRA KIRLANGITIS DPT

Provider Business Mailing Address
First Line	:	243 THREE SPRINGS DR STE 1
Second Line	:
City	:	WEIRTON
State	:	WV
Zip	:	26062-3839
Country	:	US
Telephone Number	:	304-748-2856
Fax Number	:	304-748-2856

Provider Business Practice Location Address
First Line	:	243 THREE SPRINGS DR STE 1
Second Line	:
City	:	WEIRTON
State	:	WV
Zip	:	26062-3839
Country	:	US
Telephone Number	:	304-748-2856
Fax Number	:	304-748-2856

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	04/16/2025

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Directions to “ MR. JOHN IRA KIRLANGITIS DPT” 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.

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