Jacob Tyler Wright, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305215038 Issued in VA

Practice address

29 Cedar Ridge Drive
Daleville, VA 24083

Phone

(304) 645-2525

NPI assigned

Jun 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenbrier Valley Physical Therapy LLCGroup PAC ID 3870499957, 57 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.3 of 100Reported as group

Quality

71.18

Promoting interoperability

92

Improvement activities

40

Cost

79.82

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greenbrier Valley Physical Therapy, LLC

  • Physical Therapist
  • Low Moor, VA
  • NPI 1710537626
  Medicare reassignment Care Compare group NPD
• Greenbrier Valley Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Daleville, VA
  • NPI 1447892997
  NPD
• Greenbrier Valley Physical Therapy LLC

  • Specialist
  • Princeton, WV
  • NPI 1447932744
  NPD
• Greenbrier Valley Physical Therapy, LLC

  • Specialist
  • Ronceverte, WV
  • NPI 1407946932

  Physical Therapy

  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1043941628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 TREVINO DR NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240195843",
            "telephone_number": "540-597-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CEDAR RIDGE DRIVE",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "24083",
            "telephone_number": "304-645-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JACOB",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305215038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold W Ward, PT
• Beth W Weber, R.PH.
• Emily Welch
• Jonathon Logan Williams, DDS
• Martha Lynn Wilson, MOT, OTR/L
• Tracey Ann Zelenske, COTA/L
• Isabella Zornes

• Physical Therapy Clinic/Center in Daleville, VA
• Providers in Daleville, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.