Individual provider Active NPI

Roy David Russell Whiteman Jr., MBA PT

  • Physical Therapist
  • Cumberland, MD
National Provider Identifier
1700843364
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15914 Issued in MD
Practice address
11801 Industrial Park
Cumberland, MD 21502-5139
Phone
(301) 729-3485
Fax
(301) 729-0158
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15914 MD Primary
Physical Therapist 225100000X 634 WV

Addresses

Primary practice location

11801 Industrial Park
Cumberland, MD 21502-5139

Mailing address

11801 Industrial Park
Cumberland, MD 21502-5139
Phone (301) 729-3485

Other identifiers 6

IdentifierTypeStateIssuer
0003OtherCAREFIRST BCBS OF DC NCA
0157289000MedicaidWV
222839OtherMAMSI
40024504OtherMDBLUE CROSS BLUE SHIELD
1017320OtherWVWORKERS COMPENSATION
7555296OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000027 MD Practitioner - Physical Therapist in Private Practice 5496647075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11801 Upper Potomac Indstrl Park St
Cumberland, MD 21502-5139
Phone (301) 729-3485

11801 Upper Potomac Indstrl Park St SW
Cumberland, MD 21502-5139

Merit-based Incentive Payment System (MIPS)

Final score
87.96 of 100Reported as group
Quality
87.75
Improvement activities
40
Cost
76.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
15914MDMDPhysical Therapist
634WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Staggers Heare & Whiteman PA Physical Therapist CurrentSince Jun 1, 1988 Accepting new patients
Staggers, Heare, & Whiteman, P.a. Physical Therapist CurrentSince Jun 1, 1988 Accepting new patients

Locations

11801 Upper Potomac Indstrl Park St SW
Cumberland, MD 21502
Phone (301) 729-3485

196 N Tornado Way
Ste 2
Keyser, WV 26726
Phone (304) 788-7816

22278 Northwestern Pike
Romney, WV 26757
Phone (304) 822-6024

Organizations & group practices 2

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700843364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 INDUSTRIAL PARK",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025139",
            "telephone_number": "301-729-3485",
            "fax_number": "301-729-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 INDUSTRIAL PARK",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025139",
            "telephone_number": "301-729-3485",
            "fax_number": "301-729-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEMAN",
        "first_name": "ROY",
        "middle_name": "DAVID RUSSELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MBA PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15914",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF DC NCA",
            "identifier": "0003",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157289000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "222839",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40024504",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "1017320",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7555296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.