Active NPI
Deborah Thoren Mowery, MD
- Physical Medicine & Rehabilitation Physician
- Morgantown, WV
National Provider Identifier
1013993047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 29759
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216786 | Other | ANTHEM | |
| 006800165 | Medicaid | VA | |
| 1013993047 | Medicaid | VA | |
| 250012231 | Other | MC 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100722000621 | VA | Practitioner - Physical Medicine and Rehabilitation | 8628173168 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Rehabilitation Inc PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Healthy Future Inc | Physical Medicine & Rehabilitation | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Lynchburg, VA
- NPI 1881912624
-
- Physical Medicine & Rehabilitation Physician
- Salem, VA
- NPI 1255443248
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
- Mountainstate Orthopedic Associates, Inc.
- Mountainview Services, LLC (Ellie Mental Health-West Virginia)
- Dawn Moury, MSN, BSN, RN
- Bryan Mouser, MD
- Move Right Physical Therapy LLC (Move Right)
- Megan Mowrer, PT
- Catherine Grace Moye
- Chelsea Marie Moyer, PHARMD
- Elizabeth A Moyer, O.T.
- Cy Marshall Mozingo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.