Provider Demographics
NPI:1063495588
Name:GIOELI, ANN CASEY (PT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:CASEY
Last Name:GIOELI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-3009
Mailing Address - Country:US
Mailing Address - Phone:304-465-3654
Mailing Address - Fax:304-465-8551
Practice Address - Street 1:436 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-3009
Practice Address - Country:US
Practice Address - Phone:304-465-3654
Practice Address - Fax:304-465-8551
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV001326225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0157196-000Medicaid
WV1043802OtherWV WORKERS COMPENSATION
WV0157196-000OtherMOUNTAIN STATE BC/BS
WV0157196-000OtherMOUNTAIN STATE BC/BS