Active NPI
David Wegert, PT, DPT, ATC
- Physical Therapist
- Fairmont, WV
National Provider Identifier
1003468141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01859900
- Practice address
- 1509 Fairmont Ave
Fairmont, WV 26554-2135 - Phone
- (304) 363-0050
- NPI assigned
- Jul 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01859900 | NJ | Primary |
Addresses
Primary practice location
1509 Fairmont Ave
Fairmont, WV 26554-2135
Mailing address
1509 Fairmont Ave
Fairmont, WV 26554-2135
Phone (304) 363-0050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201113000513 | WV | Practitioner - Physical Therapist in Private Practice | 7618204835 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Country Roads Physical Therapy and Rehabilitation | Physical Therapist | Current | Accepting new patients |
Locations
1509 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-0050
1031 Morgantown Ave
Fairmont, WV 26554
Phone (304) 333-8840
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fairmont, WV
- NPI 1831147297
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Country Roads Physical Therapy and Rehabilitation
Practice addresses (Care Compare)
1509 Fairmont Ave
Fairmont, WV 26554-2135
Phone (304) 363-0050
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.1 of 100
- Quality
- 88.21
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1003468141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 FAIRMONT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542135",
"telephone_number": "304-363-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 FAIRMONT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542135",
"telephone_number": "304-363-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGERT",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-09",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01859900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.