Mary Elise McClintic, DPT
Physical Therapist in Ronceverte, WV. Individual provider (NPI-1).
NPI number1104171636
StatusActive
Last updated in NPPESJul 20, 2012
Details
- NPI
- 1104171636
- Entity type
- Individual (NPI-1)
- Name
- Mary Elise McClintic
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2012
- Last updated
- Jul 20, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT003057 | WV | Yes |
Practice location
111 Davis Stuart RdRonceverte, WV 24970-9549
Phone 304-647-3987 · Fax 304-647-3990
Mailing address
111 Davis Stuart RdRonceverte, WV 24970-9549
Phone 304-647-3987 · Fax 304-647-3990
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Ronceverte, WV
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- Chelsea Hubner, DPTNPI 1619674728
- Travis L McClintic, DPTNPI 1023390135
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- Abby McCutcheon, DPTNPI 1952077109
All 16 Physical Therapist providers in Ronceverte · All 315 providers in Ronceverte
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