Mary Waddell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3198 US Route 60 Ste a
Ona, WV 25545-9507

Phone

(304) 733-9430

NPI assigned

Jun 22, 2023

Sex

Female

Sole proprietor

Yes

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.

• WV Therapy Services LLC

  • Specialist
  • Bridgeport, WV
  • NPI 1063692333

  WV

  Medicare reassignment Care Compare group NPD
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Ona, WV
  • NPI 1659302164
  NPD
• Centerwell Certified Healthcare Corp

  • Home Health Agency
  • Avon, IN
  • NPI 1972750859
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WV Therapy Services LLC 26 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 22, 2023.

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1558047779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 THOROUGHBRED WAY",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255419568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3198 US ROUTE 60 STE A",
            "city": "ONA",
            "state": "WV",
            "postal_code": "255459507",
            "telephone_number": "304-733-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "MARY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Dale Swearingen II
• Mallory Templeton
• Dana Thornberry
• Valley Health Systems Inc
• Valley Health Systems Inc
• Jessica C Walden, MS, RD, LD, BBA
• Miriam Elizabeth Waller
• Stephanie Nicole Walls
• Erica Jo Willis
• WSSH Powerback Rehabilitation Services, LLC

• All providers in Ona, WV
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.