Verrelle Lee Wyatt, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.014845 Issued in OH

Practice address

1587 Boettler Rd Ste 140
Uniontown, OH 44685

Phone

(330) 687-6891

Fax

(330) 362-2623

NPI assigned

Jan 19, 2015

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ragon Health Center LLCGroup PAC ID 3577001080, 8 clinicians

Practice addresses (Care Compare)

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.

• Physio Balance and Sports Performance, LLC

  • Sports Physical Therapist
  • Uniontown, OH
  • NPI 1255812715
  Medicare reassignment NPD Authorized official
• Ragon Health Center LLC

  • General Practice Physician
  • Uniontown, OH
  • NPI 1184479693
  Medicare reassignment Care Compare group NPD
• Physio Balance Wellness Centers

  dba Physio TPR

  • Physical Therapist
  • Uniontown, OH
  • NPI 1063217420
  NPD Authorized official
• Infupoint Care Consultants, LLC

  dba Vital Care of Northfield

  • Home Infusion Therapy Pharmacy
  • Northfield, OH
  • NPI 1609640200
  NPD
• Ragon Chiropractic Health Center, LLC

  • Chiropractor
  • Akron, OH
  • NPI 1386880342
  NPD (past)

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1447649173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 BOETTLER RD STE 140",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857823",
            "telephone_number": "330-687-6891",
            "fax_number": "330-362-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 BOETTLER RD STE 140",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "44685",
            "telephone_number": "330-687-6891",
            "fax_number": "330-362-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "VERRELLE",
        "middle_name": "LEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.014845",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OH",
            "license": "PT.014845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Winwood
• Wise Behavioral Services, LLC
• Jacqueline Wolosiansky
• Craig Wood
• Christina Woznicki, OTR
• Ping Xu, CNP
• Marlene Yates
• Lydia Yatras, FNP
• Jeffrey York, M.A.
• Nicole Ann Young, C.P.M./L.M.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.