MEDICARE: PINTI PHYSICAL THERAPY & SPORTS MEDICINE

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	027587	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

General Provider Information

NPI Number	:	1477651032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINTI PHYSICAL THERAPY & SPORTS MEDICINE

Provider Business Mailing Address
First Line	:	435 BUCKHANNON PIKE
Second Line	:
City	:	NUTTER FORT
State	:	WV
Zip	:	26301-4307
Country	:	US
Telephone Number	:	304-622-1600
Fax Number	:	304-622-4747

Provider Business Practice Location Address
First Line	:	435 BUCKHANNON PIKE
Second Line	:
City	:	NUTTER FORT
State	:	WV
Zip	:	26301-4307
Country	:	US
Telephone Number	:	304-622-1600
Fax Number	:	304-622-4747

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MARK A PINTI
Credential	:	P.T.
Telephone Number	:	304-622-1600

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

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Practice Location Address:

435 BUCKHANNON PIKE
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26301-4307

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1639489867 — PATRICIA EDEN WINLAND R.PH.
Practice Location Address:

401 BUCKHANNON PIKE
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Practice Location Address:

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1558669051 — DR. CAROLINE RAMSEY ASHCOM PHARMD
Practice Location Address:

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Directions to “PINTI PHYSICAL THERAPY & SPORTS MEDICINE ” Practice Location

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