Individual provider Active NPI

Deborah Thoren Mowery, MD

  • Physical Medicine & Rehabilitation Physician
  • Morgantown, WV
National Provider Identifier
1013993047
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
29759 Issued in WV
Practice address
1160 Van Voorhis Rd
Morgantown, WV 26505-3437
Phone
(304) 554-9494
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 29759 WV Primary
Physical Medicine & Rehabilitation Physician 208100000X 0101045890 VA
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 0101045890 VA

Addresses

Primary practice location

1160 Van Voorhis Rd
Morgantown, WV 26505-3437

Mailing address

44 Kingston Dr # 193
Daleville, VA 24083-2574
Phone (304) 554-9494

Other identifiers 4

IdentifierTypeStateIssuer
216786OtherANTHEM
006800165MedicaidVA
1013993047MedicaidVA
250012231OtherMC RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000621 VA Practitioner - Physical Medicine and RehabilitationPractitioner - PsychiatryPractitioner - NephrologyPractitioner - Addiction Medicine 8628173168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Rehabilitation Inc PC Physical Medicine & Rehabilitation CurrentSince Oct 15, 2006 Accepting new patients
Healthy Future Inc Physical Medicine & Rehabilitation PastSince Apr 11, 2010 Accepting new patients

Locations

1900 Electric Rd
Fl First
Salem, VA 24153
Phone (540) 772-2390

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1013993047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 KINGSTON DR # 193",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832574",
            "telephone_number": "304-554-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VAN VOORHIS RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053437",
            "telephone_number": "304-554-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWERY",
        "first_name": "DEBORAH",
        "middle_name": "THOREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "29759",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101045890",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "VA",
            "license": "0101045890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "216786",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006800165",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013993047",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RAILROAD",
            "identifier": "250012231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.