Individual provider Active NPI

Charles Marion Wonsettler

  • Neurology Physical Therapist
  • Morgantown, WV
National Provider Identifier
1306333869
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
Practice address
1160 Van Voorhis Rd
Morgantown, WV 26505-3437
Phone
(304) 598-1100
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X Primary

Addresses

Primary practice location

1160 Van Voorhis Rd
Morgantown, WV 26505-3437

Mailing address

47 Wonsettler Rd
Scenery Hill, PA 15360-1831
Phone (724) 288-4997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190429000872 PA Practitioner - Physical Therapist in Private Practice 5799027447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wonsettler Physical Therapy and Specialized HealthGroup PAC ID 1850644626, 11 clinicians

Practice addresses (Care Compare)

100 Wonsettler Rd
Scenery Hill, PA 15360-1863
Phone (724) 288-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wonsettler Physical Therapy and Specialized Health CurrentSince Feb 21, 2019 Accepting new patients

Locations

100 Wonsettler Rd
Scenery Hill, PA 15360
Phone (724) 200-7377

Organizations & group practices 1

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1306333869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WONSETTLER RD",
            "city": "SCENERY HILL",
            "state": "PA",
            "postal_code": "153601831",
            "telephone_number": "724-288-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VAN VOORHIS RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053437",
            "telephone_number": "304-598-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONSETTLER",
        "first_name": "CHARLES",
        "middle_name": "MARION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.