Individual provider Active NPI

Roger Thomas Wells, PT, DPT

  • Physical Therapist
  • New Martinsville, WV
National Provider Identifier
1952056863
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004471 Issued in WV
Practice address
174 N State Route 2 Ste 2
New Martinsville, WV 26155-1604
Phone
(304) 447-6778
Fax
(304) 447-6779
NPI assigned
Feb 18, 2022
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004471 WV Primary

Addresses

Primary practice location

174 N State Route 2 Ste 2
New Martinsville, WV 26155-1604

Mailing address

415 36TH St Ste 100
Parkersburg, WV 26101-1005
Phone (304) 917-3660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322000056 WV Practitioner - Physical Therapist in Private Practice 6406241850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

174 N State Route 2
New Martinsville, WV 26155-1604
Phone (304) 447-6778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT004471WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Feb 4, 2022 Accepting new patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Feb 4, 2022 Accepting new patients
Mountain River Physical Therapy LLC Physical Therapist PastSince Feb 24, 2022 Accepting new patients
Mountain River Physical Therapy LLC PastSince Feb 24, 2022 Accepting new patients

Locations

1720 SE 16th Ave
Ste 302
Ocala, FL 34471
Phone (352) 512-0825

174 N State Route 2
New Martinsville, WV 26155
Phone (304) 447-6778

174 N State Route 2
Ste 2
New Martinsville, WV 26155
Phone (304) 447-6778

1212 Garfield Ave
Ste 200
Parkersburg, WV 26101
Phone (304) 865-2778

415 36th St
Ste 100
Parkersburg, WV 26101
Phone (304) 917-3660

Organizations & group practices 4

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1952056863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST STE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 N STATE ROUTE 2 STE 2",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551604",
            "telephone_number": "304-447-6778",
            "fax_number": "304-447-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ROGER",
        "middle_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.