Individual provider Active NPI

Winston Caleb O'Neal

  • Orthopedic Physical Therapist
  • Oak Hill, WV
National Provider Identifier
1083297618
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
004384 Issued in WV
Practice address
436 Central Ave
Oak Hill, WV 25901-3009
Phone
(304) 465-3654
NPI assigned
May 2, 2021
Last updated
May 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 004384 WV Primary

Addresses

Primary practice location

436 Central Ave
Oak Hill, WV 25901-3009

Mailing address

436 Central Ave
Oak Hill, WV 25901-3009
Phone (304) 465-3654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210625002370 WV Practitioner - Physical Therapist in Private Practice 3173924230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3942 Davis Stuart Rd
Suite 3
Ronceverte, WV 24970-0269
Phone (304) 647-3987

436 Central Ave
Oak Hill, WV 25901-3009
Phone (304) 465-3654

44 Opossum Creek Rd
Victor, WV 25938-7809
Phone (304) 658-5858

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004384WVMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Valley Physical Therapy, LLC CurrentSince Sep 1, 2022 Accepting new patients
Greenbrier Valley Physical Therapy LLC CurrentSince Sep 1, 2022 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Current Accepting new patients
Active Rehab Services Inc CurrentSince Mar 22, 2021 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Past Accepting new patients

Locations

436 Central Ave
Oak Hill, WV 25901
Phone (304) 465-3654

3942 Davis Stuart Rd
Ste 3
Ronceverte, WV 24970
Phone (304) 647-3987

44 Opossum Creek Rd
Victor, WV 25938
Phone (304) 658-5858

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1083297618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CENTRAL AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013009",
            "telephone_number": "304-465-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CENTRAL AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013009",
            "telephone_number": "304-465-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "WINSTON",
        "middle_name": "CALEB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WV",
            "license": "004384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; 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.