Individual provider Active NPI

Zachary Dewitt, DPT

  • Physical Therapist
  • Hurricane, WV
National Provider Identifier
1669997128
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003831 Issued in WV
Practice address
3910 Teays Valley Rd
Hurricane, WV 25526-9756
Phone
(304) 757-7293
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT003831 WV Primary

Addresses

Primary practice location

3910 Teays Valley Rd
Hurricane, WV 25526-9756

Mailing address

3910 Teays Valley Rd
Hurricane, WV 25526-9756
Phone (304) 757-7293

Other practice location 1

808 B St Ste A
Saint Albans, WV 25177-2727
Phone (304) 727-7293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005000208 WV Practitioner - Physical Therapist in Private Practice 0042585796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrier Valley Physical Therapy LLCGroup PAC ID 3870499957, 57 clinicians

Practice addresses (Care Compare)

3910 Teays Valley Rd
Hurricane, WV 25526-9756
Phone (304) 757-7293

3942 Davis Stuart Rd
Suite 3
Ronceverte, WV 24970-0269
Phone (304) 647-3987

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
71.18
Promoting interoperability
92
Improvement activities
40
Cost
79.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teays Physical Therapy Center, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Physical Therapist Current Accepting new patients
Teays Physical Therapy Center, Inc. Physical Therapist CurrentSince Aug 1, 2017 Accepting new patients
Greenbrier Valley Physical Therapy LLC CurrentSince Aug 7, 2024 Accepting new patients
Greenbrier Valley Physical Therapy LLC CurrentSince Aug 7, 2024 Accepting new patients

Locations

3910 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-7293

3942 Davis Stuart Rd
Ste 3
Ronceverte, WV 24970
Phone (304) 647-3987

808 B St
Ste A
Saint Albans, WV 25177
Phone (304) 727-7293

Organizations & group practices 5

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669997128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269756",
            "telephone_number": "304-757-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269756",
            "telephone_number": "304-757-7293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 B St Ste A",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "WV",
            "postal_code": "251772727",
            "country_code": "US",
            "telephone_number": "304-727-7293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "ZACHARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.