Organization · Type 2 NPI

Mountain State Physical Therapy LLC

Physical Therapy Clinic/Center · Fairmont, WV

NPI number 1083668875 Active

Practice location

200 Fairmont Ave Ste 104
Fairmont, WV 26554-0171

Fax (304) 363-0173

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center Primary	261QP2000X	None listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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NPI record

NPI: 1083668875
Entity type: Organization (Type 2)
Issued: May 19, 2006
Last updated: Aug 8, 2023
Status: Active

Other names

<unavail>
Mountain State Physical Therapy · doing business as
Mountain State Physical Therapy · doing business as
Dino Rovito Etal PTR · former legal business name

Authorized official

Andrew J. Barrish, PT
President
(304) 363-8543

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083668875

Mountain State Physical Therapy LLC's National Provider Identifier is 1083668875, issued on May 19, 2006. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Fairmont, WV. The record was last updated on Aug 8, 2023.