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Organization

MASTERWORKS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY S. SYVERTSON PT,DPT,CFT,CCI,CWCHP (PRESIDENT/OWNER)
(304) 573-6858
Entity
Organization

Contact information

Practice address
156 BROOK LN, DANIELS, WV 25832-9693
(304) 573-6858
Mailing address
PO BOX 767, DANIELS, WV 25832-0767
(304) 573-6858

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0001489
WV
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001706475
MSBCBS- GROUP PIN
WV
01
001714553
MSBCBS- GREGORY SYVERTSON
WV
01
1064530
WORKERSCOMP/BRICKSTREET
WV
01
5534228
FIRST HEALTH
WV
01
612406500
DOL FECA
WV
01
697891
UNITED HEALTHCARE
WV
01
87316
UNICARE
WV
05
9420008-000
WV
01
M134278
INTEGRATED HEALTH PLAN INC
WV
Enumeration date
03/06/2007
Last updated
03/12/2026
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