Individual provider Active NPI

Edward Glenn Weber, MPT

  • Physical Therapist
  • Vienna, WV
National Provider Identifier
1437161239
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001333 Issued in WV
Practice address
800 Grand Central Mall
Suite 1
Vienna, WV 26105-4100
Phone
(304) 865-6777
Fax
(304) 865-6780
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001333 WV Primary
Physical Therapist 225100000X PT006713 OH

Addresses

Primary practice location

800 Grand Central Mall
Suite 1
Vienna, WV 26105-4100

Mailing address

415 36TH St
Suite 100
Parkersburg, WV 26101-1005
Phone (304) 917-3660

Other identifiers 3

IdentifierTypeStateIssuer
2702614MedicaidOH
7305220000MedicaidWV
P00123835OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000933 WV Practitioner - Physical Therapist in Private Practice 4183614829 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Settlement Physical TherapyGroup PAC ID 7113914631, shared by 5 NPIs, 97 clinicians

Practice addresses (Care Compare)

1405 Elizabeth Pike
Suite 103
Mineral Wells, WV 26150-1111
Phone (304) 451-3150

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
87.12
Promoting interoperability
100
Improvement activities
40
Cost
70.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT006713OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
First Settlement Physical Therapy,Inc. Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
Mountain River Physical Therapy LLC CurrentSince Apr 26, 2004 Accepting new patients
First Settlement Physical Therapy CurrentSince Apr 1, 2024 Accepting new patients
Mountain River Physical Therapy LLC Physical Therapist Current Accepting new patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients
First Settlement Phycial Therapy Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients

Locations

2101 E State St
Ste C
Athens, OH 45701
Phone (740) 593-6778

252 W Main St
Ste E
St Clairsvle, OH 43950
Phone (740) 296-5042

1001 Bridge Rd
Charleston, WV 25314
Phone (304) 759-8428

1405 Elizabeth Pike
Ste 103
Mineral Wells, WV 26150
Phone (304) 451-3150

1212 Garfield Ave
Ste 200
Parkersburg, WV 26101
Phone (304) 865-2778

2837 Pike St
#A
Parkersburg, WV 26101
Phone (304) 489-2230

415 36th St
Ste 100
Parkersburg, WV 26101
Phone (304) 917-3660

240 Washington St
Ravenswood, WV 26164
Phone (304) 273-8071

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 9

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1437161239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST",
            "address_2": "SUITE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE 1",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-865-6777",
            "fax_number": "304-865-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "EDWARD",
        "middle_name": "GLENN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001333",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT006713",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2702614",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7305220000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00123835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.