Seth Aaron Bohrer, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Fairmont, WV
NPI 1396617619 · NPPES record last updated Sep 18, 2025
Key facts
- NPI
- 1396617619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 004875 (WV)
- Practice address
- 1509 Fairmont Ave
Fairmont, WV 26554-2135 - Phone
- (304) 363-0050
- NPI assigned
- Sep 18, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- West Virginia University School of Medicine, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Fairmont, WV 26555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251113003639 | WV | Practitioner - Physical Therapist in Private Practice | 9537650965 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004875 | WV | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Country Roads Physical Therapy and Rehabilitation | Current |
Accepting new patients |
Locations
1509 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-0050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 004875 | WV | Yes |
Addresses
Primary practice location
1509 Fairmont Ave
Fairmont, WV 26554-2135
Mailing address
1509 Fairmont Ave
Fairmont, WV 26554-2135
Phone (304) 363-0050
Other providers in Fairmont, WV
- Breahna Bleigh
- Amanda Brooke Blosser
- Bma of Fairmont - Uha
- Jeremy R Bodkins
- Alyson Denise Boe
- Destiny Rose Bolyard
- Cynthia Leah Bonafield
- Franklin David Bonasso
- Patrick Corkrean Bonasso
- Sarah Bonasso
All providers in Fairmont, WV · Orthopedic Physical Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.