Cody David Wells (NPI# 1629568217, PAC ID# 7012262405) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1629568217 |
| PAC ID by PECOS | 7012262405 |
| Professional Enrollment ID | I20180627000035 |
| Full Name | Cody David Wells |
| Organization Legal Name | SUMMIT PHYSICAL THERAPY INC |
| Address |
118 Carolina Ave Chester WV 26034-1111 |
| Phone Number | 3043874110 |
| Gender | M |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7214841071 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 118 Carolina Ave, Chester, WV 26034-1111 | 3043874110 | SUMMIT PHYSICAL THERAPY INC |
| 414 Penco Rd, Weirton, WV 26062-3822 | 3047233780 | SUMMIT PHYSICAL THERAPY INC |
| Organization Legal Name | SUMMIT PHYSICAL THERAPY INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Sherman | Physical Therapy | Summit Physical Therapy Inc | 1425 Main St, Follansbee, WV 26037-1217 |
| Heather Marie Miller | Physical Therapy | Summit Physical Therapy Inc | 830 N Columbia Ctr Blvd, Suite B1, Kennewick, WA 99336-7756 |
| Mark W Mascio | Physical Therapy | Summit Physical Therapy Inc | 414 Penco Rd, Weirton, WV 26062-3822 |
| Virginia G Mozingo | Physical Therapy | Summit Physical Therapy Inc | 118 Carolina Ave, Chester, WV 26034-1111 |
| Nicholas J Martin | Physical Therapy | Summit Physical Therapy Inc | 1425 Main St, Follansbee, WV 26037-1217 |
| Mara Beth Didiano | Physical Therapy | Summit Physical Therapy Inc | 1425 Main St, Follansbee, WV 26037-1217 |
| Lacey A Cline | Physical Therapy | Summit Physical Therapy Inc | 118 Carolina Ave, Chester, WV 26034-1111 |
| Phillip G Drussel | Physical Therapy | Summit Physical Therapy Inc | 830 N Columbia Ctr Blvd, Suite B1, Kennewick, WA 99336-7756 |
| Kristen A Hussar | Physical Therapy | Summit Physical Therapy Inc | 414 Penco Rd, Weirton, WV 26062-3822 |
| Street Address |
118 CAROLINA AVE |
| City | CHESTER |
| State | WV |
| Zip | 26034-1111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia G Mozingo | Physical Therapy | Summit Physical Therapy Inc | 118 Carolina Ave, Chester, WV 26034-1111 |
| Lacey A Cline | Physical Therapy | Summit Physical Therapy Inc | 118 Carolina Ave, Chester, WV 26034-1111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krzysztof J Kubicki | Internal Medicine | Wmc Physician Practices LLC | 101 California Ave, Chester, WV 26034-1015 |
| City | CHESTER |
| Zip Code | 26034 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CHESTER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Cody David Wells.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.