Tess Mikayla Thomas, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004558 Issued in WV

Practice address

258 Mudd Pike Rd
Markleysburg, PA 15459-1110

Phone

(724) 970-7210

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

No

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.

• Calvert Rehabilitation Group, Inc.

  • Physical Therapy Clinic/Center
  • Morgantown, WV
  • NPI 1043676711

  Physical Therapist, WV

  Medicare reassignment NPD
• X-Cel Performance Rehab LLC

  • Physical Rehabilitation Occupational Therapist
  • Ridgeley, WV
  • NPI 1891168381

  Physical Therapist, WV

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Tess Mikayla Humberston Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2024.

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1124741913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ERIN DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MUDD PIKE RD",
            "city": "MARKLEYSBURG",
            "state": "PA",
            "postal_code": "154591110",
            "telephone_number": "724-970-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TESS",
        "middle_name": "MIKAYLA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "004558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3045949310",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "74 Erin Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265081371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3045949310",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "74 Erin Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265081371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TESS",
            "last_name": "HUMBERSTON",
            "middle_name": "MIKAYLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Miller
• Stephanie Miller
• Quality Life Services - Henry Clay, LLC
• Quality Life Services - Markleysburg, LLC
• South Fayette Nursing Center, LP

• All providers in Markleysburg, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.