Jessica E Bower, DPT
Individual provider Active NPI Physical Therapist · Ronceverte, WV
NPI 1104902113 · NPPES record last updated Jul 25, 2025
Key facts
- NPI
- 1104902113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 3942 Davis Stuart Rd Ste 3
Ronceverte, WV 24970-0269 - Phone
- (304) 647-3987
- Fax
- (304) 647-3990
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greenbrier Valley Physical Therapy LLC
Practice addresses (Care Compare)
2901 Selma Low Moor Rd
Low Moor, VA 24457
Phone (540) 862-0068
3942 Davis Stuart Rd
Suite 3
Ronceverte, WV 24970-0269
Phone (304) 647-3987
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.3 of 100
- Quality
- 71.18
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 79.82
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060208000337 | WV | Practitioner - Physical Therapist in Private Practice | 9739194077 | Reassigns benefits to 1 organization |
| I20220909003010 | VA | Practitioner - Physical Therapist in Private Practice | 9739194077 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2537 | WV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Valley Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Greenbrier Valley Physical Therapy, LLC | Specialist | Current |
Accepting new patients |
| Greenbrier Valley Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greenbrier Valley Physical Therapy LLC | Specialist | Current |
Accepting new patients |
Locations
484 Riverside Ave
Jacksonville, FL 32202
Phone (904) 579-2824
29 Cedar Plateau Way
Daleville, VA 24083
Phone (540) 591-6060
3942 Davis Stuart Rd
Ste 3
Ronceverte, WV 24970
Phone (304) 647-3987
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2537 | WV | |
| Physical Therapist | 225100000X | CP011718T | VA | |
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
3942 Davis Stuart Rd Ste 3
Ronceverte, WV 24970-0269
Mailing address
3942 Davis Stuart Rd Ste 3
Ronceverte, WV 24970-0269
Phone (304) 647-3987
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004657 | Medicaid | WV | |
| 550755833 | Other | WV | WV WORKERS COMP |
| 550755833 | Other | WV | COMMERICAL INS |
Other providers in Ronceverte, WV
- Michael Vaughn Baxter Bledsoe
- Blink, Inc.
- Blink, Inc.
- Brittany Bonner
- Thomas C Booth II
- Scott Edward Bowerman
- Mary Katherine Bowling
- Jessica Bragg
- Carney Jerrod Broadwater
- Jacqueline Wickline Brown
All providers in Ronceverte, WV · Physical Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.