Individual provider Active NPI

Avery Santella, OTR/L

  • Occupational Therapist
  • Morgantown, WV
National Provider Identifier
1750017695
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2287 Issued in WV
Practice address
6000 Hampton Ctr Ste B
Morgantown, WV 26505-1748
Phone
(304) 599-9250
Fax
(304) 599-7800
NPI assigned
Jul 25, 2022
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2287 WV Primary

Addresses

Primary practice location

6000 Hampton Ctr Ste B
Morgantown, WV 26505-1748

Mailing address

6 Edwin St
Morgantown, WV 26501-8505
Phone (304) 292-0173

Other practice location 1

1712 Locust Ave
Fairmont, WV 26554-1321
Phone (681) 404-6900

Other practice location 2

5000 Greenbag Rd
Morgantown, WV 26501-7163
Phone (304) 292-0173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303000958 WV Practitioner - Occupational Therapist in Private Practice 4284155649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
West Virginia University School of Medicine, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Therapy Services, LLCGroup PAC ID 1052318508, 22 clinicians

Practice addresses (Care Compare)

6000 Hampton Ctr
Suite B
Morgantown, WV 26505-1748
Phone (304) 599-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2287WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services, LLC Occupational Therapist CurrentSince Feb 10, 2025 Accepting new patients
Playworks LLC Occupational Therapist PastSince Jul 31, 2022 Accepting new patients
Playworks LLC PastSince Jul 31, 2022 Accepting new patients

Locations

37 Grande Meadows Dr
Ste 102
Bridgeport, WV 26330
Phone (304) 592-2009

6000 Hampton Ctr
Ste B
Morgantown, WV 26505
Phone (304) 599-1500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1750017695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EDWIN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265018505",
            "telephone_number": "304-292-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 HAMPTON CTR STE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051748",
            "telephone_number": "304-599-9250",
            "fax_number": "304-599-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541321",
            "country_code": "US",
            "telephone_number": "681-404-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Greenbag Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265017163",
            "country_code": "US",
            "telephone_number": "304-292-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTELLA",
        "first_name": "AVERY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

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