Active NPI
Matthew Dean Sells, DPT
- Physical Therapist
- Vienna, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002965
- Practice address
- 800 Grand Central Mall
Suite 1
Vienna, WV 26105-4100 - Phone
- (304) 865-6777
- Fax
- (304) 865-6780
- NPI assigned
- Aug 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002965 | WV | Primary |
Addresses
Primary practice location
800 Grand Central Mall
Suite 1
Vienna, WV 26105-4100
Mailing address
415 36TH St
Suite 100
Parkersburg, WV 26101-1005
Phone (304) 917-3660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0061221 | Medicaid | OH | |
| 3810022896 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Grand Central Mall
Suite 4
Vienna, WV 26105-4100
Phone (304) 485-3300
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT002965 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain River Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Mountain River Physical Therapy Specialists LLC | Physical Therapist | Current | Accepting new patients |
| Mountain River Physical Therapy Specialists LLC | Physical Therapist | Current | Accepting new patients |
| Camden-Clark Physician Corporation | Current | Accepting new patients | |
| Mountain River Physical Therapy, LLC | Current | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Locations
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
1212 Garfield Ave
Ste 200
Parkersburg, WV 26101
Phone (304) 865-2778
415 36th St
Ste 100
Parkersburg, WV 26101
Phone (304) 917-3660
800 Grand Central Mall
Ste 4
Vienna, WV 26105
Phone (304) 485-3300
800 Grand Central Mall
Ste 1
Vienna, WV 26105
Phone (304) 424-4419
Organizations & group practices 6
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.
-
- Surgery Physician
- Parkersburg, WV
- NPI 1710125430
-
- Physical Therapy Clinic/Center
- Parkersburg, WV
- NPI 1487668794
Physical Therapist
-
- Physical Therapy Clinic/Center
- Parkersburg, WV
- NPI 1437754157
Physical Therapist
-
- Physical Therapy Clinic/Center
- Williamstown, WV
- NPI 1811594757
-
- Physical Therapy Clinic/Center
- Ocala, FL
- NPI 1528663283
Physical Therapist
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1720368483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 36TH ST",
"address_2": "SUITE 100",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261011005",
"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": "800 GRAND CENTRAL MALL",
"address_2": "SUITE 1",
"city": "VIENNA",
"state": "WV",
"postal_code": "261054100",
"telephone_number": "304-865-6777",
"fax_number": "304-865-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLS",
"first_name": "MATTHEW",
"middle_name": "DEAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-25",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT002965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0061221",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810022896",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.