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

Kelby R. Church, PT, DPT, OCS, ATC

Individual provider Physical Therapist · NPI 1639335540

Kelby R. Church, PT, DPT, OCS, ATC is a Physical Therapist in Private Practice in New Martinsville, West Virginia. Qualified in 2008, 18 years ago. Practices with Mountain River Physical Therapy Specialists LLC, a 22-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
18
Licensed in
WV
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

174 N State Route 2 Ste 2
New Martinsville, WV 26155-1604
Phone: (304) 447-6778
Fax: (304) 447-6779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 002702 (WV)

Record details

NPI number1639335540
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , OCS , ATC
Sole proprietorNo
NPI enumeratedJuly 30, 2008
Last updated in NPPESDecember 29, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mountain River Physical Therapy Specialists Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Martinsville