Kelby R Church
MOUNTAINEER PHYSICAL THERAPY AND SPORTS MEDICINE

Address: 207 Merchants Walk, Summersville, WV 26651-1901
Phone: 3048727498

Kelby R Church (NPI# 1639335540, PAC ID# 8022185164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1639335540
PAC ID by PECOS 8022185164
Professional Enrollment ID I20080916000192
Full Name Kelby R Church
Organization Legal Name MOUNTAINEER PHYSICAL THERAPY AND SPORTS MEDICINE
Address 207 Merchants Walk
Summersville
WV 26651-1901
Phone Number 3048727498
Gender M
Graduation Year 2008
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 1153383849
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
207 Merchants Walk, Summersville, WV 26651-1901 3048727498 MOUNTAINEER PHYSICAL THERAPY AND SPORTS MEDICINE

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_128_1 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% Claims
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 100% Claims
PQRS_EP_131_1 Pain Assessment and Follow-Up 100% Claims
PQRS_EP_182_1 Functional Outcome Assessment 100% Claims

Organization Information

Organization Legal Name MOUNTAINEER PHYSICAL THERAPY AND SPORTS MEDICINE
Physicians 2

Physicians with the same location

Name Specialty Organization Address
Stephen M Young PHYSICAL THERAPY MOUNTAINEER PHYSICAL THERAPY AND SPORTS MEDICINE 207 Merchants Walk, Summersville

Office Location

Street Address 207 MERCHANTS WALK
City SUMMERSVILLE
State WV
Zip 26651-1901

Physicians with the same location

Name Specialty Organization Address
Stephen M Young PHYSICAL THERAPY MOUNTAINEER PHYSICAL THERAPY AND SPORTS MEDICINE 207 Merchants Walk, Summersville

Competitor

Search similar physicians

City SUMMERSVILLE
Zip Code 26651
Specialty PHYSICAL THERAPY
City + Specialty SUMMERSVILLE + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.