Wesley Craig Lauderback, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011665 Issued in OH

Practice address

8985 Ohio River Rd
Wheelersburg, OH 45694-1923

Phone

(740) 456-6666

NPI assigned

Dec 10, 2019

Last updated

Mar 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironton Physical Therapy IncGroup PAC ID 0749188407, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Quality

94.08

Improvement activities

40

Cost

73.88

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ironton Physical Therapy Inc

  dba Tri State Rehab Services

  • Physical Therapist
  • Ironton, OH
  • NPI 1649399643

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ironton Physical Therapy Inc

  dba Tri State Rehab Services

  • Physical Therapist
  • Wheelersburg, OH
  • NPI 1699005306

  Single Specialty

  NPD
• Ironton Physical Therapy Inc

  dba Tri State Rehab Services

  • Physical Therapist
  • Portsmouth, OH
  • NPI 1720528201

  Single Specialty

  NPD
• Ironton Physical Therapy Inc

  dba Tri State Rehab Services

  • Physical Therapist
  • Huntington, WV
  • NPI 1013036011

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1386281269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GREENUP AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011953",
            "telephone_number": "606-324-0540",
            "fax_number": "606-324-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8985 OHIO RIVER RD",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941923",
            "telephone_number": "740-456-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDERBACK",
        "first_name": "WESLEY",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Wells Knore
• Lauren Elizabeth Kotcamp, MS, RD, LD
• Lisa Gay Lancaster
• Tiffany R Lansing
• Emma G Lauder
• Amanda Lawhorn
• Gary Lawhorn
• Connie Lawson
• Madison Leffingwell
• Joseph R. Leith, MD

• Physical Therapist in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.