Individual provider Active NPI

David Wegert, PT, DPT, ATC

  • Physical Therapist
  • Fairmont, WV
National Provider Identifier
1003468141
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01859900 Issued in NJ
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

Updated by the provider on Oct 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Country Roads Physical Therapy and Rehabilitation Physical Therapist CurrentSince Oct 1, 2020 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.

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 28 clinicians

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 100Reported as individual
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.

Verify at the official NPI Registry.