Jacqueline Judith Gay, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004039 Issued in WV

Practice address

200 Fort Pierpont Dr Ste 105
Morgantown, WV 26508-1327

Phone

(304) 241-7667

Fax

(304) 241-7667

NPI assigned

Dec 27, 2019

Last updated

Apr 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monarch Wound Care LLCGroup PAC ID 9436504180, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Monarch Wound Care LLC

  • Physical Therapist
  • Morgantown, WV
  • NPI 1124806831
  Medicare reassignment Care Compare group NPD Authorized official
• Zacharia Facaros, DPM, LLC

  dba Facaros Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Pittsburgh, PA
  • NPI 1649711235
  NPD (past)

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1912546789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FORT PIERPONT DR STE 105",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081327",
            "telephone_number": "304-241-7667",
            "fax_number": "304-241-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORT PIERPONT DR STE 105",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081327",
            "telephone_number": "304-241-7667",
            "fax_number": "304-241-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "JACQUELINE",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIUAL NPI",
            "identifier": "1912546789",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124806831",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRACTICE (PT IN WV)",
            "identifier": "PT004039",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broc Gast
• Christopher Jeffery Gates
• Sandra Gates, PT
• Gateway Home Care, LLC (WVUHS Home Medical Equipment)
• Mackenzie Leigh Gatian, APRN, NP-C
• Swapna Gayam, M.D
• Melissa Suann Gaydos, HYGIENISTS
• Frances Geraldine Gayton
• Alexis Waynette Gear, FNP-BC
• Laura Gearde

• Physical Therapist in Morgantown, WV
• Providers in Morgantown, 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 Apr 10, 2024; 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.