Brock Daniel Athey

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004197 Issued in WV

Practice address

34 W Virginia Way
Ranson, WV 25438-4882

Phone

(304) 728-9090

Fax

(304) 728-9087

NPI assigned

Aug 2, 2019

Last updated

Sep 26, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, WA, WV3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Professional Sportscare and Rehab of West Virginia LLCGroup PAC ID 7719037027, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.33 of 100Reported as group

Quality

88.06

Improvement activities

40

Cost

76.31

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.

• Professional Sportscare & Rehab of West Virginia, LLC

  • Physical Therapist
  • Shepherdstown, WV
  • NPI 1548404577
  Medicare reassignment Care Compare group NPD
• The Vancouver Clinic Inc PS

  dba The Vancouver Clinic

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1992759427
  Medicare reassignment Care Compare group NPD
• Apple Physical Therapy, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Auburn, WA
  • NPI 1902808470
  Medicare reassignment NPD
• Barren Ridge Physical Therapy Limited Partnership

  • Physical Therapist
  • Fishersville, VA
  • NPI 1093952905
  Medicare reassignment NPD
• Apple Physical Therapy LLC

  dba ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Mountlake Terrace, WA
  • NPI 1366746232

  Physical Therapist

  NPD
• Barren Ridge Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Fishersville, VA
  • NPI 1306072608
  NPD
• The Vancouver Clinic Inc PS

  dba Salmon Creek 2 Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
  • NPI 1306556907
  NPD
• The Vancouver Clinic Inc PS

  • Eyewear Supplier
  • Ridgefield, WA
  • NPI 1760004477
  NPD
• Playworks LLC

  dba PlayWorks Child Development Center

  • Occupational Therapist
  • Morgantown, WV
  • NPI 1063439578
  NPD (past)
• Playworks LLC

  dba PlayWorks Child Development Center

  • Pediatric Occupational Therapist
  • Morgantown, WV
  • NPI 1962669168

  Physical Therapist

  NPD (past)
• Professional Sportscare & Rehab of West Virginia, LLC

  • Physical Therapist
  • Ranson, WV
  • NPI 1366916546
  NPD (past)

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1679128169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W VIRGINIA WAY",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254384882",
            "telephone_number": "304-728-9090",
            "fax_number": "304-728-9087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Edwin St",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265018505",
            "country_code": "US",
            "telephone_number": "304-292-0173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3912 10th St SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983742188",
            "country_code": "US",
            "telephone_number": "253-848-4700",
            "fax_number": "253-848-2284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATHEY",
        "first_name": "BROCK",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-02",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004197",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61560597",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "030519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick W Ammerman, D.O.
• Paige Renee Andersen, NP
• Oma Naomi Aristondo-Martinez
• Thanigasalam Arumuganathan, MD.FRCOG,FACOG
• Kelsey Dawn Ash, MD
• Aurora Counseling Center
• Luke Badley, LGSW
• Karen Elizabeth Baird-Miller, PHARM.D.
• Breona C Barr, MD
• Joseph William Beakey, O.M.D.

• Physical Therapist in Ranson, WV
• Providers in Ranson, 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 Sep 26, 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.