Active NPI
Thomas Lee Dobbs Jr., MPT
- Physical Therapist
- Wheeling, WV
National Provider Identifier
1114297413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002349
- Practice address
- 620 National Rd
Suite 100
Wheeling, WV 26003-6560 - Phone
- (304) 230-5601
- Fax
- (304) 230-5603
- NPI assigned
- Jan 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002349 | WV | Primary |
Addresses
Primary practice location
620 National Rd
Suite 100
Wheeling, WV 26003-6560
Mailing address
415 36TH St
Suite 100
Parkersburg, WV 26101-1005
Phone (304) 917-3660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0061219 | Medicaid | OH | |
| 3810023356 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT002349 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1114297413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 36TH ST",
"address_2": "SUITE 100",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261011005",
"telephone_number": "304-917-3660",
"fax_number": "304-917-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 NATIONAL RD",
"address_2": "SUITE 100",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036560",
"telephone_number": "304-230-5601",
"fax_number": "304-230-5603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBS",
"first_name": "THOMAS",
"middle_name": "LEE",
"name_suffix": "Jr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-04",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT002349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0061219",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810023356",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.