Mary Waddell, PT
NPI 1558047779ActiveIndividual· Physical Therapist· Ona, WV
Physical Therapist (PT) in Ona, West Virginia, trained at West Virginia University School of Medicine (class of 1993). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1558047779 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Jun 22, 2023 |
| Last updated in NPPES | Jun 22, 2023 |
| Certified by provider | Jun 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WV) |
|---|
Education and affiliations
| Medical school | West Virginia University School of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Wv Therapy Services LLCBridgeport, WV · 26 clinicians
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