Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brock Daniel Athey

Individual provider Physical Therapist · NPI 1679128169

Brock Daniel Athey is a Physical Therapist in Private Practice in Ranson, West Virginia. Qualified in 2019, 7 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania, Washington and West Virginia.

Years since qualifying
7
Licensed in
PA, WA, WV
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

34 W Virginia Way
Ranson, WV 25438-4882
Phone: (304) 728-9090
Fax: (304) 728-9087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 — (253) 848-4700
  • 6 Edwin St, Morgantown, WV 26501-8505 — (304) 292-0173

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT004197 (WV)
Physical Therapist Taxonomy 225100000X · Licence PT61560597 (WA)
Physical Therapist Taxonomy 225100000X · Licence 030519 (PA)

Record details

NPI number1679128169
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2019
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ranson