Individual provider Active NPI

Thomas Fetter, PT

  • Physical Therapist
  • Waynesburg, PA
National Provider Identifier
1609505122
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
249 Elm Dr
Waynesburg, PA 15370-8275
Phone
(724) 825-9357
Fax
(724) 270-3011
NPI assigned
Jun 9, 2022
Last updated
Dec 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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 NU Primary

Addresses

Primary practice location

249 Elm Dr
Waynesburg, PA 15370-8275

Mailing address

249 Elm Dr
Waynesburg, PA 15370-8275
Phone (724) 825-9357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240111000179 WV Practitioner - Physical Therapist in Private Practice 8123479482 Reassigns benefits to 1 organization
I20241016002005 PA Practitioner - Physical Therapist in Private Practice 8123479482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Performance Physical TherapyGroup PAC ID 8426463456, 3 clinicians

Practice addresses (Care Compare)

249 Elm Dr
Waynesburg, PA 15370-8275
Phone (724) 825-9357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Praful Vora MDPC CurrentSince Oct 11, 2024 Accepting new patients
Better Performance Physical Therapy Physical Therapist CurrentSince Oct 11, 2024 Accepting new patients
Country Roads Physical Therapy and Rehabilitation Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients

Locations

249 Elm Dr
Waynesburg, PA 15370
Phone (724) 627-8131

120 Buckhannon Xrds
Ste 112
Buckhannon, WV 26201
Phone (304) 472-8510

1031 Morgantown Ave
Fairmont, WV 26554
Phone (304) 333-8840

1509 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-0050

25 Barbara St
#101
Grafton, WV 26354
Phone (304) 903-8082

200 Fort Pierpont Dr
Ste 107
Morgantown, WV 26508
Phone (304) 322-4232

456 Market Place Mall
Ste A
Weston, WV 26452
Phone (304) 269-0100

8 Elm Grove Crossing Mall
Ste C
Wheeling, WV 26003
Phone (304) 905-8140

2600 Middletown Cmns
Ste 260
White Hall, WV 26554
Phone (304) 816-3169

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1609505122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 ELM DR",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708275",
            "telephone_number": "724-825-9357",
            "fax_number": "724-270-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 ELM DR",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708275",
            "telephone_number": "724-825-9357",
            "fax_number": "724-270-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTER",
        "first_name": "THOMAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.