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

Destiney Jordan Wells

Individual provider Physical Therapist · NPI 1689413460

Destiney Jordan Wells is a Physical Therapist in Private Practice in Vienna, West Virginia. Graduated from Ohio Medical University in 2024, 2 years ago. Practices with Natalie L Cooke LLC, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
Ohio Medical University
In the registry since
2024

Practice location Address checks out

1605 Grand Central Ave
Vienna, WV 26105-1081
Phone: (304) 295-7290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1689413460
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOHIO MEDICAL UNIVERSITY
Graduated 2024 (2 years in practice)
Group practice Natalie L Cooke Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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