Mary Ann Dreza Alino Fernandez, PT, COMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT000839 Issued in WV

Practice address

63 Hospitality LN Ste 3
Mineral Wells, WV 26150-6705

Phone

(304) 489-8100

Fax

(304) 489-8191

NPI assigned

Feb 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Mary Ann Dreza Alino Buenaventura Former name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain River Physical Therapy Specialists LLC 22 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1437754157

  Physical Therapist, WV

  Medicare reassignment Care Compare group NPD
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Charleston, WV
  • NPI 1093202665

  Physical Therapist, WV

  Medicare reassignment NPD
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Vienna, WV
  • NPI 1780634246

  Physical Therapist, WV

  Medicare reassignment NPD
• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Ocala, FL
  • NPI 1528663283

  Physical Therapist

  Care Compare group NPD
• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Vincent, OH
  • NPI 1801491568
  Care Compare group
• First Settlement Phycial Therapy

  • Physical Therapist
  • Beckley, WV
  • NPI 1619763547
  NPD
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Saint Albans, WV
  • NPI 1114552510
  NPD
• First Settlement Physical Therapy,Inc.

  • Physical Therapy Clinic/Center
  • Triadelphia, WV
  • NPI 1326631169

  Physical Therapist

  NPD
• Physical Therapy Providers PLLC

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
  • NPI 1013039965

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1902297906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "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": "63 HOSPITALITY LN STE 3",
            "city": "MINERAL WELLS",
            "state": "WV",
            "postal_code": "261506705",
            "telephone_number": "304-489-8100",
            "fax_number": "304-489-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARY ANN DREZA",
        "middle_name": "ALINO",
        "credential": "PT, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "000839",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "0105003469",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13262-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003437",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT000839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ANN DREZA",
            "last_name": "BUENAVENTURA",
            "middle_name": "ALINO",
            "credential": "PT, COMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candice Nichole Donley
• Dr. Matthew Isner, DC, PLLC
• Tina Marie Ellis, EARLY INTERVENTION
• Karen Lee Fahey, DNP, FNP-BC
• Terry Fent
• Finbar G Powderly
• First Settlement Physical Therapy
• Tammy Foster
• Erica Dawn Frazier
• Fruth Pharmacy Inc

• All providers in Mineral Wells, WV
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.