Individual provider Active NPI

Dylan Stansberry

  • Physical Therapist
  • Parkersburg, WV
National Provider Identifier
1114689387
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004443 Issued in WV
Practice address
1212 Garfield Ave Ste 200
Parkersburg, WV 26101-3247
Phone
(304) 865-6778
NPI assigned
Oct 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004443 WV Primary

Addresses

Primary practice location

1212 Garfield Ave Ste 200
Parkersburg, WV 26101-3247

Mailing address

415 36TH St Ste 100
Parkersburg, WV 26101-1005
Phone (304) 917-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211227000861 WV Practitioner - Physical Therapist in Private Practice 2961893003 Reassigns benefits to 3 organizations
I20230406002613 OH Practitioner - Physical Therapist in Private Practice 2961893003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Settlement Physical TherapyGroup PAC ID 7113914631, shared by 5 NPIs, 97 clinicians

Practice addresses (Care Compare)

1405 Elizabeth Pike
Suite 103
Mineral Wells, WV 26150-1111
Phone (304) 451-3150

1500 Grand Central Ave
Suite 101
Vienna, WV 26105-1079
Phone (304) 295-3016

932 E State St
Suite 102
Athens, OH 45701-2112
Phone (740) 592-3778

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
87.12
Promoting interoperability
100
Improvement activities
40
Cost
70.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
First Settlement Phycial Therapy Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
First Settlement Physical Therapy CurrentSince Mar 27, 2023 Accepting new patients
First Settlement Physical Therapy Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
First Settlement Physical Therapy Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients

Locations

2434 Richmiller Ln
Unit B
Belpre, OH 45714
Phone (740) 423-1500

611 2nd St
Ste A
Marietta, OH 45750
Phone (740) 568-0650

55 White Oak Woods Dr
Vincent, OH 45784
Phone (740) 678-8000

1001 Bridge Rd
Charleston, WV 25314
Phone (304) 759-8428

1405 Elizabeth Pike
Ste 103
Mineral Wells, WV 26150
Phone (304) 451-3150

1212 Garfield Ave
Ste 200
Parkersburg, WV 26101
Phone (304) 865-2778

2837 Pike St
#A
Parkersburg, WV 26101
Phone (304) 489-2230

2909 7th St
Ste C
Parkersburg, WV 26101
Phone (304) 488-8490

415 36th St
Ste 100
Parkersburg, WV 26101
Phone (304) 917-3660

240 Washington St
Ravenswood, WV 26164
Phone (304) 273-8071

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

601 Highland Ave
Williamstown, WV 26187
Phone (304) 375-2990

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1114689387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST STE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 GARFIELD AVE STE 200",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013247",
            "telephone_number": "304-865-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBERRY",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.