William Michael Lawless, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP015925T Issued in WV

Practice address

63 Hospitality LN Ste 3
Mineral Wells, WV 26150-6705

Phone

(304) 489-8100

Fax

(304) 489-8191

NPI assigned

Jun 4, 2020

Last updated

Dec 6, 2022By 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, WV2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain River Physical Therapy Specialists LLCGroup PAC ID 1759795834, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1437754157

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Vincent, OH
  • NPI 1801491568

  Physical Therapist

  Medicare reassignment NPD
• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Ocala, FL
  • NPI 1528663283

  Physical Therapist

  NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1629692603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "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": "63 HOSPITALITY LN STE 3",
            "city": "MINERAL WELLS",
            "state": "WV",
            "postal_code": "261506705",
            "telephone_number": "304-489-8100",
            "fax_number": "304-489-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLESS",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018715",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "CP015925T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hornbeck
• Christina Violet Huffman
• Angela Hutson
• Matthew Owen Isner, DC
• Brandi Keaton
• Sarah Leasure
• Kimberly Leffel
• Taylor Marie Life, LAT, ATC, PT, DPT
• Ashley McPherson
• Mid-Ohio Valley Chiropractic and Wellness

• Physical Therapist in Mineral Wells, WV
• Providers in Mineral Wells, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.