Provider Demographics
NPI:1104834431
Name:DOWNEY, JANE (RPT)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:ELLEN
Other - Last Name:POISAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1148
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25402-1148
Mailing Address - Country:US
Mailing Address - Phone:304-267-2733
Mailing Address - Fax:
Practice Address - Street 1:43 PANAMA STREET
Practice Address - Street 2:
Practice Address - City:HARPERS FERRY
Practice Address - State:WV
Practice Address - Zip Code:25425
Practice Address - Country:US
Practice Address - Phone:304-535-2400
Practice Address - Fax:304-535-2424
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV47225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVDO4197791Medicare PIN