OrganizationActive
Mountain Ridge Physical Therapy LLC
NPI 1457899809 · Physical Therapy Clinic/Center · Morgantown, WV
Provider details
- NPI number
- 1457899809
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Derek Clark, Owner, Physical Therapist(304) 685-6064
- License
- 2714 (WV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6000 Coombs Farm Drive
Suite 202b
Morgantown, WV 26508
Phone: (304) 685-6064
Approximate (ZIP-level) locationGet directions
Mailing address
6000 Coombs Farm Drive
Morgantown, WV 26508
Registry dates
- Enumerated
- 2017-02-06
- Last updated
- 2017-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.