Individual provider Active NPI

Eli W Rhodes, MPT

  • Physical Therapist
  • Keyser, WV
National Provider Identifier
1386697340
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002358 Issued in WV
Practice address
196 N Tornado Way
Suite 2
Keyser, WV 26726-6006
Phone
(304) 788-7816
Fax
(304) 788-7863
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 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 002358 WV Primary

Addresses

Primary practice location

196 N Tornado Way
Suite 2
Keyser, WV 26726-6006

Mailing address

196 N Tornado Way
Suite 2
Keyser, WV 26726-6006
Phone (304) 788-7816

Other identifiers 4

IdentifierTypeStateIssuer
2131556OtherMAMSI/UNITED HEALTHCARE
3810003743MedicaidWV
001717160OtherWVMOUNTAIN STATE BCBS
64319601OtherMDCAREFIRST BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401001183 WV Practitioner - Physical Therapist in Private Practice 7214829894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staggers, Heare and Whiteman, P.a.Group PAC ID 3678465259, 13 clinicians

Practice addresses (Care Compare)

196 N Tornado Way
Keyser, WV 26726-6006
Phone (304) 788-7816

Merit-based Incentive Payment System (MIPS)

Final score
87.96 of 100Reported as group
Quality
87.75
Improvement activities
40
Cost
76.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Staggers, Heare, & Whiteman, P.a. Physical Therapist CurrentSince Sep 2, 2003 Accepting new patients
Staggers, Heare, & Whiteman, P.a. Physical Therapist Current Accepting new patients

Locations

514 New Creek Hwy
Ste 2
Keyser, WV 26726
Phone (304) 597-3577

196 N Tornado Way
Ste 2
Keyser, WV 26726
Phone (304) 788-7816

22278 Northwestern Pike
Romney, WV 26757
Phone (304) 822-6024

Organizations & group practices 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1386697340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 N TORNADO WAY",
            "address_2": "SUITE 2",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267266006",
            "telephone_number": "304-788-7816",
            "fax_number": "304-788-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 N TORNADO WAY",
            "address_2": "SUITE 2",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267266006",
            "telephone_number": "304-788-7816",
            "fax_number": "304-788-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "ELI",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "002358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/UNITED HEALTHCARE",
            "identifier": "2131556",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003743",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001717160",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "64319601",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.