Kelby R. Church, PT, DPT, OCS, ATC
NPI 1639335540ActiveIndividual· Physical Therapist· New Martinsville, WV
Physical Therapist (PT, DPT, OCS, ATC) with Mountain River Physical Therapy Specialists LLC, practicing in New Martinsville, West Virginia. Medicare paid $35,758 for services to 44 patients in 2024.
Overview
| NPI | 1639335540 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, OCS, ATC |
| Sole proprietor | No |
| NPI issued | Jul 30, 2008 |
| Last updated in NPPES | Dec 29, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT 002702 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OH); Practitioner - Physical Therapist in Private Practice (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 1,926 across 5 procedure codes |
| Paid by Medicare | $35,758 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Mountain River Physical Therapy Specialists LLCVincent, OH · 21 clinicians
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